Primary antral carcinoma managed by en-bloc radical maxillectomy with orbital exenteration

• Main Authors: Sajal Kumar Sarkar, Arunima Chaudhuri, Chandranath Banerjee, Suranjan Banerjee
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-01-01
• Series: Journal of the Scientific Society
• Subjects: Fascio cutaneous flap; primary antral carcinoma; radical maxillectomy
• Online Access: http://www.jscisociety.com/article.asp?issn=0974-5009;year=2014;volume=41;issue=3;spage=188;epage=191;aulast=Sarkar

The prognosis of maxillary sinus carcinomas is not very promising. Maxillary sinus carcinomas are usually diagnosed at advanced stages and the proximity of important organs such as the eyes and cranial nerves makes complete surgical resection difficult. We here present a case that presented late with squamous cell carcinoma and was treated by radiotherapy (RT) followed by radical maxillectomy with en-bloc orbital exenteration. Patients who undergo RT followed by en-bloc radical maxillectomy with orbital exenteration as salvage, in these cases may have promising results. We had raised forehead fascio cutaneous flap and translocated it deep to the upper eyelid to bridge the cutaneous defect. Forehead defect was covered with split-thickness skin taken from left thigh. No microvascular surgery was done, but cosmetic results were comparable. In rural setups of developing countries where facilities for microvascular surgery are lacking flap translocation may have a positive outcome.