摘要
目的探讨改良耳前颞下窝入路切除侧颅底占位性病变的可行性。方法对5例侧颅底占位性病变采用改良耳前颞下窝入路,显微手术切除占位性病变。结果 5例侧颅底占位性病变,4例全切除,1例次全切除,面神经解剖和功能保存,无涎漏发生。结论改良耳前颞下窝入路对于侧颅底占位性病变是一种安全、有效的手术入路,需要神经外科与口腔颌面外科密切协作。
Objective To explore the feasibility of removing the space-occupying lesions of lateral skull base via modified preauricular infratemporal fossa approach. Methods Modified preauricular infratemporal fossa approach was adopted in microsurgery of 5 cases of space-occupying lesions of lateral skull base. Results Total removal was achieved in 4 cases and subtotal removal was achieved in 1 case. The facial nerve was anatomically and functionally preserved and no salivary fistula occurred. Conclusion It is a safe and effective strategy to remove space-occupying lesions of lateral skull base via modified preanricular infratemporal fossa approach, which makes good cooperation between neurosurgery and oromaxillofacial surgery an important prerequisite.
出处
《中华神经外科疾病研究杂志》
CAS
2010年第4期352-355,共4页
Chinese Journal of Neurosurgical Disease Research
关键词
颞下窝入路
侧颅底
面神经
涎漏
Infratemporal fossa approach
Lateral skull base
Facial nerve
Salivary fistula
