Head and Neck TumorsHead and Neck TumorsОпухоли головы и шеи2222-14682411-4634Publishing House ABV Press16710.17650/2222-1468-2015-5-3-16-23DIAGNOSIS AND TREATMENT OF HEAD AND NECK TUMORSДИАГНОСТИКА И ЛЕЧЕНИЕ ОПУХОЛЕЙ ГОЛОВЫ И ШЕИA surgical approach as dysmasking in patients with malignant tumors of the paranasal sinuses and skull baseХирургический доступ по типу дисмаскинга у больных со злокачественными опухолями параназальных синусов и основания черепаPolyakovA. P.ПоляковА. П.
Russian Federation
ReshetovI. V.РешетовИ. В.
Russian Federation
ZaytsevA. M.ЗайцевА. М.
Russian Federation
RatushnyiM. V.РатушныйМ. В.
Russian Federation
MatorinO. V.МаторинО. В.
Russian Federation
FilyushinM. M.ФилюшинМ. М.
Russian Federation
SevryukovF. E.СеврюковФ. Е.
Russian Federation
BabaskinaN. V.БабаскинаН. В.
Russian Federation
nbabaskina@bk.ruanaseikinYu. A.ПанасейкинЮ. А.
Russian Federation
SugaipovA. L.СугаиповА. Л.
Russian Federation
Mukhomed'yarovaA. A.МухомедьяроваА. А.
Russian Federation
KaprinA. D.КапринА. Д.
Russian Federation
P. A. Herzen Moscow Oncology Research Institute – Branch of National Medical Radiology Research Center, Ministry of Health of RussiaМосковский научно-исследовательский онкологический институт им. П. А. Герцена –филиал ФГБУ «Национальный медицинский исследовательский радиологический центр» Минздрава России3 2nd Botkinsky Proezd, Moscow, 125284, RussiaРоссия, 125284, Москва, 2-й Боткинский пр-д, 3241120155316232411201524112015Copyright ©; 2015, Polyakov A.P., Reshetov I.V., Zaytsev A.M., Ratushnyi M.V., Matorin O.V., Filyushin M.M., Sevryukov F.E., Babaskina N.V., anaseikin Y.A., Sugaipov A.L., Mukhomed'yarova A.A., Kaprin A.D.Copyright ©; 2015, Поляков А.П., Решетов И.В., Зайцев А.М., Ратушный М.В., Маторин О.В., Филюшин М.М., Севрюков Ф.Е., Бабаскина Н.В., Панасейкин Ю.А., Сугаипов А.Л., Мухомедьярова А.А., Каприн А.Д.2015Polyakov A.P., Reshetov I.V., Zaytsev A.M., Ratushnyi M.V., Matorin O.V., Filyushin M.M., Sevryukov F.E., Babaskina N.V., anaseikin Y.A., Sugaipov A.L., Mukhomed'yarova A.A., Kaprin A.D.Поляков А.П., Решетов И.В., Зайцев А.М., Ратушный М.В., Маторин О.В., Филюшин М.М., Севрюков Ф.Е., Бабаскина Н.В., Панасейкин Ю.А., Сугаипов А.Л., Мухомедьярова А.А., Каприн А.Д.https://creativecommons.org/licenses/by/4.0https://ogsh.abvpress.ru/jour/article/view/167

A surgical approach as dysmasking implies a bitemporal skin incision followed by a single flap from upper facial soft tissues. The advantages of this technique may include a wide surgical approach to the structures of the anterior skull base, a possibility of intraoperative extension of the approach through parapalpebral and/or pre-auricular incisions, the lack of incisions in the central zone of the face, the preservation of the integrity of mimic muscles and the sensitivity of soft tissues in the central zone of the face. This paper gives experience in surgically treating 5 patients with malignant tumors of the paranasal sinuses and skull base. All the cases required a wide approach to the skull base and anterior facial skeleton. This was achieved by the use of the dysmasking approach, if need be, parapalpebral incisions or facial nerve resection followed by single-stage microsurgical neurorrhaphy were made. All operations were performed under endotracheal anesthesia. The wide surgical approach to the tumor, which permitted its removal in the maximum volume without skin incisions in the central zone of the face, as vitally indicated, could be achieved by dysmasking that yielded satisfactory postoperative cosmetic and functional results in all the cases.

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