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颅内皮样囊肿的内镜切除术

Endoscopic resection of intracranial dermoid cysts.

作者信息

Schuster D, Riley K O, Cure J K, Woodworth B A

机构信息

Division of Otolaryngology, Department of Surgery, University of Alabama at Birmingham, Alabama 35294, USA.

出版信息

J Laryngol Otol. 2011 Apr;125(4):423-7. doi: 10.1017/S0022215110002823. Epub 2011 Jan 27.

DOI:10.1017/S0022215110002823
PMID:21269552
Abstract

INTRODUCTION

Nasal dermoid cysts are congenital lesions which are often diagnosed in infancy or childhood. However, a small number present in adulthood, and some extend intracranially. Traditional treatment for the intracranial portion of these cysts includes frontal craniotomy.

CASE REPORTS

Two intracranial dermoid cysts were resected via a transnasal endoscopic approach, using 70° nasal endoscopy for complete visualisation and intracranial tumour removal. We describe our technique for the procedure itself and for reconstruction of the skull base defect.

DISCUSSION AND CONCLUSION

The endoscopic transnasal skull base approach is an excellent alternative to a traditional frontal craniotomy, to achieve complete resection of intracranial dermoid cysts.

摘要

引言

鼻皮样囊肿是先天性病变,常在婴儿期或儿童期被诊断出来。然而,少数在成年期出现,有些会向颅内延伸。这些囊肿颅内部分的传统治疗方法包括额骨开颅术。

病例报告

通过经鼻内镜入路切除了两个颅内皮样囊肿,使用70°鼻内镜进行完全可视化和颅内肿瘤切除。我们描述了该手术本身及颅底缺损重建的技术。

讨论与结论

内镜经鼻颅底入路是传统额骨开颅术的极佳替代方法,可实现颅内皮样囊肿的完全切除。

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