头皮半冠状联合下颌下切口治疗颞下窝肿瘤

Hemi-coronal incision and submandibular incision for infratemporal fossa tumors

目的探讨颞下窝肿瘤切除的手术进路和手术方法。方法根据肿瘤的性质和大小,对1998年10月～2006年6月收治的9例患者,全部采用头皮半冠状切口联合下颌下切口进路进行手术治疗。结果全部9例患者,3例良性肿瘤手术后3年随访无1例复发;6例恶性肿瘤患者手术后均进行50Gy～70Gy的放射治疗,经过最长3年随访,1例因肿瘤再次复发大出血而死亡,1例带瘤生存,1例1年后失访,3例未见有明显复发,转移组织未有坏死。结论颞下窝肿瘤位置较深,发现较晚,瘤体较大,采用头皮半冠状切口联合下颌下切口进路进行手术,肿瘤相对较易切除彻底,风险小,安全,并能有效修复遗留死腔。

OBJECTIVE To investigate the approach to resection of infratemporal fossa tumors. METHODS Nine patients with tumors involved the infratemporal fossa was reported. They were treated with hemi-coronal and submandibular incision. RESULTS Patients were followed up from 6 months to 3 years. Three patients with benign tumors were with no recurrence. Among 6 patients with malignant tumors, one patient died from bloodshed, one patient survived with tumor, three patients survived with no tumor, and the another one was lost for follow up. CONCLUSION Patients were followed up from 6 months to 3 years. Three patients with benign tumors were with no recurrence. Among 6 patients with malignant tumors, one patient died from bloodshed, one patient survived with tumor, three patients survived with no tumor, and the another one was lost for follow up.