Fraioli Mario Francesco, Contratti F, Fraioli C, Floris R
Department of Neuroscience, Neurosurgery, University of Rome "Tor Vergata," Rome, Italy.
Skull Base. 2007 Nov;17(6):413-6. doi: 10.1055/s-2007-991115.
This article outlines the surgical technique and the indications for the lateral transmaxillosphenoidal approach, which is illustrated by an index case. A 27-year-old woman presented with a trigeminal sensory deficit caused by a dermoid tumor occupying the lateral compartment of her right cavernous sinus. A lateral transmaxillosphenoidal approach was performed, and the tumor was removed lateral to the intracavernous carotid artery (ICA) and medial to intracavernous cranial nerves. The lateral transmaxillosphenoidal approach is similar to the transmaxillosphenoidal approach used for the removal of pituitary adenomas invading the medial compartment of the cavernous sinus. By opening the lateral wall of the sphenoid sinus just above and laterally to the carotid artery, tumor can be removed medial to the intracavernous cranial nerves and lateral to the ICA.
本文概述了经上颌窦外侧-蝶窦入路的手术技术及适应证，并以一个索引病例进行说明。一名27岁女性因皮样囊肿占据右侧海绵窦外侧间隙而出现三叉神经感觉障碍。采用经上颌窦外侧-蝶窦入路，在海绵窦内颈动脉（ICA）外侧和海绵窦内脑神经内侧切除肿瘤。经上颌窦外侧-蝶窦入路与用于切除侵犯海绵窦内侧间隙的垂体腺瘤的经上颌窦-蝶窦入路相似。通过打开蝶窦外侧壁，位于颈动脉上方及外侧，可在海绵窦内脑神经内侧和ICA外侧切除肿瘤。
