CARCINOMA OF THE PARANASAL SINUSES INVADING THE ORBIT

Fifteen patients at the University of Mainz were diagnosed as having T 3 or T4 carcinomas of the paranasal sinuses that invaded the orbit.Tre atment involved surgical resections of tumor with adjacent periorbita but without enucleation in an attempt to preserve vision and/or cosmes is. Survival rates and especially the rate, time and locations of recu rrences were investigated. Analysis of the data revealed that preserva tion of the eye in these cases with advanced sinus carcinomas with orb ital tumor involvement did not seem to worsen prognosis.The individual gain in terms of quality of life through the preservation of vision a nd cosmesis seems to justify the surgical approach used.