Chen Ying, Wang Tianduo, Rong Baogang, Ding Yuanping, Li Yongtuan, Liu Yiqing, Zhahg Hanbing
Department of Otorhinolaryngology, Qilu Hospital of Shandong University, Jinan 250012, China.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2002 Dec;37(6):432-4.
To search into the appropriate approach for surgical treatment of the huge lateral skull base tumors.
The combined frontal-preauricular-cervical approach was used in two cases with huge transcranial lateral skull base tumors occupying the parapharngeal space, infratemporal fossa and middle cranial fossa. To acquire a wide surgical exposure, the flaps of orbital-zygomatic bone and the skull bone were removed, and then the mandibula was dislocated inferiorly.
The tumors in the two cases were resected completely. The postoperative conditions of the patients were good. No cerebral spinal fluid leakage and other intracranial complications or facial morbidity were found. The occlusion was not interfered.
The combined frontal-preauricular-cervical approach may provide a potential way for the surgical treatment of the large transcranial neoplasms occupying the parapharngeal space and infratemporal fossa and the middle cranial base.
探讨巨大侧颅底肿瘤的合适手术治疗方法。
采用额部-耳前-颈部联合入路治疗2例巨大经颅侧颅底肿瘤，肿瘤累及咽旁间隙、颞下窝和中颅窝。为获得广泛的手术视野，切除眶颧部骨瓣和颅骨，然后将下颌骨向下脱位。
2例肿瘤均完全切除。患者术后情况良好。未发现脑脊液漏及其他颅内并发症或面部功能障碍。咬合未受影响。
额部-耳前-颈部联合入路可为手术治疗累及咽旁间隙、颞下窝和中颅底的大型经颅肿瘤提供一种可能的方法。
