En Bloc Ethmoidectomy and Medial Maxillectomy

Abstract

A method is described which enables the surgeon to gain necessary visual access for en bloc removal of certain tumors of the nasoethmoid area. A "medial maxillectomy" has been performed on ten patients, three of whom underwent combined craniofacial surgery for extensive neoplasms. The procedure is especially suitable for those tumors in which piecemeal or "shelling out" techniques are not desirable, and in which one desires to preserve the eye, palate, and facial appearance.