Thurnher Dietmar, Novak Christine B, Neligan Peter C, Gullane Patrick J
Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
Skull Base. 2007 Feb;17(1):79-88. doi: 10.1055/s-2006-959338.
Neoplasms located in the lateral skull base region present a challenge for evaluation and management due to their difficult anatomic location and the complex reconstruction that is required following extensive tumor resection. Repair following tumor ablation requires a watertight dural seal, obliteration of the dead space, and coverage with vascularized soft tissue. Advances in radiologic imaging, diagnostic pathology, and surgical techniques and a multidisciplinary team for tumor ablation and reconstruction have significantly improved the treatment of these patients, minimized the occurrence of postoperative complications, and maximized patient outcome and quality of life. In this article, we present our experience in the reconstruction of extensive lateral skull base defects after tumor ablation.
位于侧颅底区域的肿瘤因其解剖位置困难以及广泛肿瘤切除后所需的复杂重建,给评估和管理带来了挑战。肿瘤切除后的修复需要严密的硬脑膜封闭、死腔闭塞以及用带血管的软组织覆盖。放射影像学、诊断病理学、手术技术的进步以及肿瘤切除和重建的多学科团队显著改善了这些患者的治疗,减少了术后并发症的发生,并使患者的预后和生活质量最大化。在本文中,我们介绍了我们在肿瘤切除后广泛侧颅底缺损重建方面的经验。