The Superior Rhinotomy


This procedure describes one of the most versatile approaches to the anterior skull base for large tumors of the sinonasal cavity. It may be used with or without a craniofacial resection. The benefits of this approach are: wide access around the tumor; good postoperative cosmesis;&decreased operative&postoperative morbidity. We have used this approach for many bilateral tumors of the nasal&sinus cavities that approach&/or invade the skull base&brain. This video show the resection of a large esthesioneuroblastoma.







Channel: Tech
Uploaded: November 27, 2007 at 9:34 pm
Author: Demagogue8990

Length: 00:10:00
Rating: 4.20
Views: 13124

Tags: sinus, surgery, brain, medicine, brain tumor cancer, tumor, esthesioneuroblastoma,

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Video Comments:
ohwerd15 (September 4, 2008 at 6:53 pm)
holy shit imagine the petient woke up while u were cutting through the nasal cavities
Demagogue8990 (July 24, 2008 at 6:55 pm)
I do occasionally work with the OMFS service. Where I'm from the majority of these cases are done by otolaryngologists.
sadfsd4 (July 24, 2008 at 6:40 pm)
Awesome stuff. I have seen that radical neck disections and some sinus procedures are done by oral maxillofacial surgeons. Do you often work with them ? Do they do most mandibular and maxillary portions of the surgeries or is it all done by ENT's?
cixbull (July 19, 2008 at 2:01 pm)
o fuck
Demagogue8990 (June 23, 2008 at 7:16 am)
A midfacial degloving approach wouldn't have given enough access for the bilateral maxillectomies with removal of the central (CNS) portion of the tumor. Comfortable access for tumor removal&treatment of any possible complication is very important in these cases.
kimpaul46 (June 22, 2008 at 7:17 pm)
Couldn't you have done this whole surgery without facial incisions?
Igawish (June 19, 2008 at 11:48 am)
thank you
Demagogue8990 (June 19, 2008 at 11:38 am)
This was an esthesioneuroblastoma (olfactory cell neuroblastoma). Prophylactic abx are always used in these procedures as you are going through the paranasal sinuses into the brain. The nasolacrimal sac is transected&marsupialized. There is a<1% incidence of stenosis&epiphora.
Igawish (June 19, 2008 at 10:27 am)
amazing ,
what was the indication , histopathology ,
did you use prophylactic antibiotics
how close is your approach to the tear duct system?
:-)
carlawon (May 2, 2008 at 12:28 am)
unreal..

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