BACKGROUND: Primary bone sarcomas arising in osseous structures of the head and neck are rare. These tumors are often incompletely resected and treated with radiotherapy for local control. METHODS: We report a case of a 9-year-old girl with a maxillary Ewing's sarcoma. This patient was successfully treated with neoadjuvant chemotherapy followed by surgical resection and prosthetic reconstruction of the primary site. The surgical approach that was used consisted of a subtotal maxillectomy by means of a facial degloving approach, sparing the orbital contents and the inferior orbital rim and orbital floor. RESULTS: This approach produced excellent cosmetic, functional, and oncologic outcome. The patient remains without evidence of disease recurrence more than 4 years after surgery. CONCLUSIONS: This case illustrates a novel surgical approach to the resection of a maxillary Ewing's sarcoma and highlights the need for a multidisciplinary team approach to the management of head and neck sarcomas in children. Copyright 2003 Wiley Periodicals, Inc.
BACKGROUND:Primary bone sarcomas arising in osseous structures of the head and neck are rare. These tumors are often incompletely resected and treated with radiotherapy for local control. METHODS: We report a case of a 9-year-old girl with a maxillary Ewing's sarcoma. This patient was successfully treated with neoadjuvant chemotherapy followed by surgical resection and prosthetic reconstruction of the primary site. The surgical approach that was used consisted of a subtotal maxillectomy by means of a facial degloving approach, sparing the orbital contents and the inferior orbital rim and orbital floor. RESULTS: This approach produced excellent cosmetic, functional, and oncologic outcome. The patient remains without evidence of disease recurrence more than 4 years after surgery. CONCLUSIONS: This case illustrates a novel surgical approach to the resection of a maxillary Ewing's sarcoma and highlights the need for a multidisciplinary team approach to the management of head and neck sarcomas in children. Copyright 2003 Wiley Periodicals, Inc.
Authors: Christopher M Runyan; Vishal Sharma; David A Staffenberg; Jamie P Levine; Lawrence E Brecht; Leonard H Wexler; David L Hirsch Journal: J Craniofac Surg Date: 2016-11 Impact factor: 1.046
Authors: Sara Hafezi; Raja R Seethala; Edward B Stelow; Stacey E Mills; Iona T Leong; Elaine MacDuff; Jennifer L Hunt; Bayardo Perez-Ordoñez; Ilan Weinreb Journal: Head Neck Pathol Date: 2010-11-25
Authors: Ana Regina Casaroto; Marcelo Bonifacio DA Silva Sampieri; Cleverson Teixeira Soares; Paulo Sergio DA Silva Santos; Renato Yassutaka Faria Yaedu; José Humberto Damante; Vanessa Soares Lara Journal: In Vivo Date: 2017 May-Jun Impact factor: 2.155