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Abstract: Evolution study of 43 patients with neoplasias, benign and malignant, in the head and neck region, near or with invasion of the skull base, atended in the period of january, 1978 to july, 1994 in the Head and Neck Surgery of the Heliópolis Hospital, São Paulo, Brazil and treated using techniques derivated from the skull base surgery. In the survival analysis, the patients were divided in five groups (extended orbital ressections, anterior cranio-facial ressections, rinopharynx tumors ressections, sub-total temporal bone ressections and miscellanious), being the best resutis found in the extended orbital ressections, followed by the anterior cranio-facial ressections, miscellaneous group, rinopharynx tumor ressections and sub-total bone ressections. The complications rate was influenced by previous treatments, while the local control of the disease was not. The life quality was considered excellent in more than half of patients.
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