Colmenero C, Perez Alvarez M, Alonso A
Dept. of Maxillofacial Surgery, Hospital Ciudad Sanitaria La Paz, Universidad Autónoma, Madrid, Spain.
J Craniomaxillofac Surg. 1991 Jul;19(5):212-6. doi: 10.1016/s1010-5182(05)80550-5.
Two cases of Adenoid Cystic Carcinoma (ACC) of the infrasphenotemporal fossa with invasion of the floor of the middle fossa are presented. Preoperative studies included CT-scan and cervical and cerebral angiography. The exposure and operative management comprised a latero-facial approach combined with multiple exposure osteotomies of the ascending mandibular ramus, orbitozygomatic region and a frontosphenotemporal craniotomy. This approach provides wide exposure of the posterolateral orbit, sphenoid wing and infratemporal and pterygomaxillary fossa. One of our patients died from massive recurrence in proximity to the cavernous sinus and the other is free of disease after 30 months.
本文报告2例颞下窝腺样囊性癌侵犯中颅窝底。术前检查包括CT扫描及颈部和脑血管造影。手术显露和处理采用面侧入路联合下颌升支、眶颧区多处截骨及额颞部开颅术。该入路可广泛显露眶后外侧、蝶骨翼、颞下窝及翼腭窝。其中1例患者死于海绵窦附近的广泛复发，另1例患者术后30个月无瘤生存。
