Robinson Simon, Patel Nilesh, Wormald P J
Wakefield Sinus and Facial-Plastic Centre, Wellington, New Zealand.
Laryngoscope. 2005 Oct;115(10):1818-22. doi: 10.1097/01.mlg.0000174956.90361.dc.
OBJECTIVES/HYPOTHESIS: Preliminary results of the endoscopic two-surgeon technique for the management of benign infratemporal fossa tumors are presented.
Four patients with juvenile nasopharyngeal angiofibroma, a patient with an inverting papilloma, and a patient with a maxillary nerve schwannoma were reviewed. The average age was 22.7 years; the male-to-female ratio was 5:1. The endoscopic anatomy and surgical technique are presented.
The two-surgeon technique allowed complete resection of all six tumors extending into the infratemporal fossa. There has been no recurrence of tumor within the infratemporal fossa, after a mean follow-up of 31.3 months (SD = 11.2 mo).
The two-surgeon transnasal technique allows benign infratemporal fossa tumors to be resected endoscopically.
目的/假设:本文展示了用于治疗颞下窝良性肿瘤的内镜双术者技术的初步结果。
回顾了4例青少年鼻咽血管纤维瘤患者、1例内翻性乳头状瘤患者和1例上颌神经鞘瘤患者。平均年龄为22.7岁;男女比例为5:1。介绍了内镜解剖结构和手术技术。
双术者技术使所有6例延伸至颞下窝的肿瘤均得以完整切除。平均随访31.3个月(标准差=11.2个月)后,颞下窝内无肿瘤复发。
双术者经鼻技术可在内镜下切除颞下窝良性肿瘤。