Saito K, Suzuki Y, Nehashi K, Sugita K
Department of Neurosurgery, Nagoya University School of Medicine, Japan.
Surg Neurol. 1990 Aug;34(2):124-8. doi: 10.1016/0090-3019(90)90108-2.
A 4-year-old girl suffering from left visual loss and orbitofrontal deformity secondary to fibrous dysplasia was treated surgically. Using an extradural approach through a left frontotemporal craniotomy, the dysplastic orbital roof, sphenoid wing, anterior clinoid process, planum sphenoidale, and sphenoid body were removed to release the left superior orbital fissure and the optic canals bilaterally. The superior marginal bone of the left orbit was elevated to make it even with the contralateral side. After autoclaving at 132 degrees C and 2 atm for 10 minutes to prevent continued growth, a section of dysplastic frontotemporal bone was remodeled and replaced. Surgical methods are discussed, focusing on the merits of an extradural approach.
一名4岁女童因纤维发育不良继发左眼视力丧失和眶额畸形而接受手术治疗。通过左侧额颞开颅术采用硬膜外入路，切除发育异常的眶顶、蝶骨翼、前床突、蝶骨平台和蝶骨体，以双侧松解左眶上裂和视神经管。抬高左眼眶上缘骨使其与对侧平齐。在132摄氏度和2个大气压下高压灭菌10分钟以防止继续生长后，对一段发育异常的额颞骨进行重塑并替换。文中讨论了手术方法，重点介绍了硬膜外入路的优点。
