OBJECTIVES: The purpose of this work was to examine the indications for the combined transfacial and neurosurgical @entity5 . @entity1 AND METHODS: Fifteen @entity1 with @entity5 underwent surgery via the combined approach between 1990 and 2000 at the Amiens University Hospital. The transfacial approach alone was reserved for elderly @entity1 . RESULTS: The histological diagnosis was @entity420 in 10 @entity1 . There was one @entity204 . Mean follow-up was 45 months (range 3 - 129). Six @entity1 died from local or metastatic recurrence. At last follow-up eight @entity1 were disease free, two had local or metastatic recurrence. CONCLUSION: We compared systematic use of the combined approach for curative surgery with surgical strategies adopted by other teams. The combined approach is indicated for T3 or T4 @entity5 and for all other @entity5 with a posterior or superior extension. @entity5 may be treated with the transfacial access alone. @entity5 without extension to the orbit or cribiform plate may be managed endoscopically. The role of histological diagnosis and the choice of the surgical approach remain to be evaluated.

[Combined transfacial and neurosurgical approach for the treatment of XXXX ].

@entity5 :: ('MESH:D009369', 'Disease') :: ['approach to ethmoid cancers', 'Anterior and unilateral tumors', 'Limited tumors', 'ethmoid cancers', 'tumors'] @entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity204 :: ('MESH:D003643', 'Disease') :: ['postoperative death'] @entity420 :: ('MESH:D000230', 'Disease') :: ['adenocarcinoma']
@entity5 :: (MESH:D009369,Disease) :: ['ethmoid cancers']
