Guo Zhilin, Mu Xiongzhen, Ouyang Huoniu, Cheng Zhihua, Wang Zhixin, Xu Bing
From the *Neurosurgical Department, The Ninth People's Hospital of Shanghai, Affiliated with Shanghai Jiaotong University, Shanghai; †Plastic Surgical Department, The Huashan Hospital of Shanghai, Shanghai; and ‡Maxillofacial Surgical Department, The Ninth People's Hospital of Shanghai, Affiliated with Shanghai Jiaotong University, Shanghai, China.
J Craniofac Surg. 2013 Sep;24(5):1669-70. doi: 10.1097/SCS.0b013e31828f2843.
A retrospective study was undertaken in order to choose the operative methods of adult huge frontal nasoethmoid meningoencephalocele. Ten patients were admitted to hospital for their craniofacial mass. Of these, 9 cases suffered meningocele and 1 case meningoencephalocele. Four cases undertook the mass resection and repairing operation with postoperative lumbar drainage; at final, they had to receive shunt operation. Six cases underwent mass resection and repairing operation with shunt surgery at one stage; they recovered smoothly. Our results suggest that the adult patients with huge meningoencephalocele have larger subarachnoid cavity. When they receive repairing operation, their subarachnoid cavity would be decreased in volume and cerebrospinal fluid (CSF) circulation could be disturbed. In order to maintain the balance of CSF production and absorption, the shunt operation should be given at the same stage.
为选择成人巨大额鼻筛脑膜脑膨出的手术方法进行了一项回顾性研究。10例因颅面部肿物入院。其中，9例为脑膜膨出，1例为脑膜脑膨出。4例行肿物切除及修补术并术后腰大池引流；最终均需行分流术。6例行肿物切除及修补术并同期行分流术，术后恢复顺利。我们的结果表明，成人巨大脑膜脑膨出患者蛛网膜下腔较大。当他们接受修补手术时，蛛网膜下腔体积会减小，脑脊液（CSF）循环可能受到干扰。为维持脑脊液生成与吸收的平衡，应同期行分流手术。
