摘要
目的 探讨适宜切除巨大侧颅底肿瘤的手术途径。方法 应用额 耳前 颈联合入路 ,制作眶颧骨瓣及颅骨骨瓣 ,结合下颌骨脱位下移 ,获得了充分暴露肿瘤的术野 ,治疗 2例占据咽旁间隙、颞下窝穿颅底达颅中窝的巨大侧颅底沟通性肿瘤。结果 2例肿瘤均获得全切 ,术后患者恢复良好 ,均未发生脑脊液漏等任何颅内并发症 ,面部无明显畸形 ,咬合正常。结论 额 耳前 颈联合入路是用于切除巨大咽旁间隙、颞下窝、侵入颅中窝的侧颅底良。
Objective To search into the appropriate approach for surgical treatment of the huge lateral skull base tumors. Methods The combined frontal-preauricular-cervical approach was used in two cases with huge transcranial lateral skull base tumors occupying the parapharngeal space, infratemporal fossa and middle cranial fossa. To acquire a wide surgical exposure, the flaps of orbital-zygomatic bone and the skull bone were removed, and then the mandibula was dislocated inferiorly. Results The tumors in the two cases were resected completely. The postoperative conditions of the patients were good. No cerebral spinal fluid leakage and other intracranial complications or facial morbidity were found. The occlusion was not interfered. Conclusion The combined frontal-preauricular-cervical approach may provide a potential way for the surgical treatment of the large transcranial neoplasms occupying the parapharngeal space and infratemporal fossa and the middle cranial base.
出处
《中华耳鼻咽喉科杂志》
CSCD
北大核心
2002年第6期432-434,共3页
Chinese Journal of Otorhinolaryngology
