Liu James K, Wong Anni, Eloy Jean Anderson
Department of Neurological Surgery, Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA; Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.
Department of Neurological Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA; Department of Otolaryngology - Head and Neck Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA.
Otolaryngol Clin North Am. 2017 Apr;50(2):331-346. doi: 10.1016/j.otc.2016.12.009.
Combined transcranial and endoscopic endonasal approaches remain useful in the treatment of ventral skull base malignancies. The extended bifrontal transbasal approach provides wide access to the anterior ventral skull base and paranasal sinuses without transfacial incisions. In more extensive lesions, the bifrontal transbasal approach can then be combined with an endoscopic endonasal approach (EEA) from below. This article reviews the indications, surgical technique, and operative nuances of combined transbasal and EEA (cranionasal) approaches for the surgical management of ventral skull base malignancies.
经颅和鼻内镜联合入路在治疗颅底腹侧恶性肿瘤方面仍然很有用。扩大的双额经基底入路可在不进行经面部切口的情况下广泛暴露前颅底腹侧和鼻窦。对于更广泛的病变，双额经基底入路可与下方的鼻内镜入路（EEA）联合使用。本文综述了经基底和EEA（颅鼻）联合入路在颅底腹侧恶性肿瘤手术治疗中的适应证、手术技术及手术细节。
