经额颞眶颧联合入路切除颅眶沟通肿瘤

Microsurgical treatment of cranio-orbital tumor with the frontal-temporal-orbital-zygomatic approach

目的 探讨经额颞眶颧联合入路切除颅眶沟通肿瘤的优越性。方法 经头颅CT或MRI确诊 ,手术采取经额颞眶颧联合入路 ,显微镜下切除肿瘤。结果 肿瘤全切除 2 3例 ,次全切除 7例 ,大部分切除 5例 ,无手术死亡。随访 2～ 8年 ,恢复原工作 2 6例 ,肿瘤复发9例 ,其中恶性肿瘤 6例 ,蝶骨嵴脑膜瘤复发 3例。结论 颅眶沟通肿瘤经额颞眶颧联合入路显微镜下切除是一种安全、有效的方法。

Objective To study the operative approach for cranio-orbital tumor. Methods Thirty-five patients with cranio-orbital tumor diagnosed by CT or MRI were treated by the frontal-temporal-orbital-zygomatic approach with microsurgery. Results Total resection was done in 23 cases, subtotal resection in 7 cases, and gross resection in 5 cases, with no mortality. Of the 35 patients, who were followed up for 2～8 years, 26 returned to their work, and 9 suffered recurrence. Six of the 9 cases were malignant tumor, and the other 3 were sphenoid wing meningioma. Conclusion It is safe and effective to resect cranio-orbital tumor by the frontal-temporal-orbital-zygomatic approach with microsurgery.