摘要
目的探讨颞下窝、翼腭窝占位性病变的微创手术治疗的可行性。方法回顾性分析2004年5月—2007年2月我科收治的内镜下经鼻入路手术治疗的4例颞下窝、翼腭窝占位性病变患者的临床资料,其中神经纤维瘤3例,神经鞘瘤1例。结果该入路术中病变暴露良好。3例1次手术完全切除,1例因术中出血过多分两次完成次全切除手术。1例出现术后脑脊液耳漏,保守治疗5天后痊愈。术后随访12~45个月无复发和死亡。结论内镜经鼻入路对经过严格选择的颞下窝、翼腭窝占位性病变能够做到安全、有效、微创切除。
Objective To explore the feasibility of minimal invasive surgery for space-occupying lesions in the infratemporal fossa and pterygopalatine fossa. Methods To analyze retrospectively 4 cases of space-occupying lesions in the infratemporal fossa and pterygopalatine fossa treated by endoscopic endonasal surgery during May 2004 to February 2007. There were 3 cases with neurofibroma and 1 case with neurilemmoma. Results The endoscopic transnasal approach could provide excellent visualization of lesions. Tumors were totally resected in 3 patients and subtotally resected in 1, the latter was completed in two stages because of bleeding. Only one complication, transient cerebrospinal otorrhea, occurred in 1 case, which was cured after conservative measures for 5 days. No recurrence and death occurred during the follow-up period of 12-45 months after the surgery. Conclusion The endoscopic transnasal surgery is a safe, effective and minimally invasive approach in strictly selected cases of space-occupying lesions in the infratemporal fossa and otervgopalatine fossa.
出处
《中华耳科学杂志》
CSCD
2008年第1期86-88,共3页
Chinese Journal of Otology
基金
国家863计划基金(2006AA02Z4E5)
关键词
颞下窝
翼腭窝
外科治疗
内窥镜检查
Infratemporal fossa
Pterygopalatine fossa
Surgery
Endoscopy