涉及颅腔的耳鼻咽喉科疾病的手术治疗（附17例报告）

Surgical Treatment of the Otolaryngologic Diseases with Intracranial Extension

１７例眶、鼻一鼻窦、耳等部位与颅腔相关的患者男１２例，女５例。疾病包括良性及恶性肿瘤，先天性疾病，特异性炎症等，都累及颅腔。１７例都采用颅内外联合径路手术方法治疗。第一类手术方法为眶、鼻一鼻窦病变涉及前、中颅窝的手术径路；第二类手术方法为耳颔部病变涉及中、后颅窝的手术径路。二类手术径路都有利于病变广泛而彻底的切除，也有利于提高治疗后的美学效果，并获得Ｉ期修复成功。

Seventeen patients,12 males and 5 females suffered from orbital、nasal-paranasal sinus and aural diseases,which involved cranial fossa. The diseases included benign and malignant tumor,congenital disease,specific infection,which were all related to cranium. All cases were re-sected with craniofacial approches. The first surgical method is used for orbital、nasal-paranasal si-nus diseases,which involve anterior-middle cranial fossa. The second method is used for aural-temporal diseases,which involve middle-posterior cranial fossa. The two surgical metheds are suc-cessful in resectlng diseased portion thoroughly,improving aesthetic effect of postoperation and ac-complishing repair in Stage One.