内镜控制下显微神经外科手术治疗中颅窝表皮样囊肿：技术病例报告
Endoscope-controlled microneurosurgery to treat middle fossa epidermoid cysts: technical case report.
作者信息
Trivelato Felipe P, Giannetti Alexandre V
机构信息
Division of Neurosurgery, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
出版信息
Neurosurgery. 2008 Mar;62(3 Suppl 1):105-6; discussion106-7. doi: 10.1227/01.neu.0000317379.60938.1f.
OBJECTIVE
To present an alternative technique of endoscope-controlled microneurosurgery for the treatment of middle fossa epidermoid cysts.
METHODS
The three operations described were performed through an approximately 2-cm diameter temporal craniotomy after a straight skin incision was made. Resection was then performed under the magnification of a 30-degree rigid endoscope, which mandated the use of exclusively conventional microsurgical instruments.
RESULTS
Total resection was accomplished in all three patients with large middle fossa epidermoid cysts through a small temporal corticectomy, without damage to neurovascular structures.
CONCLUSION
This procedure allowed the association of a smaller craniotomy, better cosmetic results, and minor retraction of the brain to wide resection of the tumor and satisfactory functional outcomes.
目的
介绍一种用于治疗中颅窝表皮样囊肿的内镜控制下显微神经外科替代技术。
方法
在做了一条直的皮肤切口后，通过直径约2厘米的颞部开颅术进行了所描述的3例手术。然后在30度硬性内镜放大下进行切除，这要求仅使用传统显微外科器械。
结果
所有3例患有大型中颅窝表皮样囊肿的患者均通过小的颞叶皮质切除术实现了全切，且未损伤神经血管结构。
结论
该手术方法结合了较小的开颅术、更好的美容效果、对脑的轻微牵拉，实现了肿瘤的广泛切除和满意的功能结果。
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