摘要
目的:探讨内镜下经蝶窦斜坡入路岩尖胆固醇肉芽肿的手术方法。方法:报道1例内镜下经蝶窦斜坡入路外科治疗右侧岩尖胆固醇肉芽肿病例,并分析内镜手术的可能入路及优缺点。结果:该患者手术成功,无并发症。术后听力恢复,耳鸣消失。术后第3天出院,随访4个月无复发。结论:内镜下经蝶窦斜坡入路是治疗岩尖胆固醇肉芽肿有效和安全的方法,术者可监控颈内动脉下直达病变部位,降低手术风险。
Objective：To explore the endoscopic management of petrous apex cholesterol granuloma through trans-sphenoid sinus-clivus approach.Method： One case of right-side petrous apex cholesterol granuloma were undertaken surgical treatment through trans-sphenoid sinus-clivus approach,then the possibility of any other approach and their advantages and disadvantages were analyzed.Result：The operation was success without any complications.Patient′s hearing was recovered and tinnitus vanished.The patient was discharge from hospital at the third day after operation,and followed up for four month without recurrence.Conclusion：Trans-sphenoid sinus-clivus endoscopic management of petrous apex cholesterol granuloma is effective and safe.The operators can monitor internal carotid artery then to access to the diseased region with reducing risk.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2013年第14期745-746,750,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
内镜
胆固醇肉芽肿
蝶窦
斜坡
岩尖
endoscopy
cholesterol granuloma
sphenoid
clivus
petrous apex
