✦ LIBER ✦

Combined modality treatment of Ewing's sarcoma of the maxilla

✍ Scribed by Leonard H. Wexler; Ashutosh Kacker; John D. Piro; Joseph Haddad Jr; Lanny G. Close

Publisher: John Wiley and Sons
Year: 2002
Tongue: English
Weight: 161 KB
Volume: 25
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.10156

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

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. © 2003 Wiley Periodicals, Inc. Head Neck 25: 168–172, 2003

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