Tamaki Akina, Shammassian Berje, Ray Abhishek, Selman Warren R, Rodriguez Kenneth
Department of Otolaryngology-Head and Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Department of Neurological Surgery, The Neurological Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Am J Otolaryngol. 2017 Sep-Oct;38(5):645-647. doi: 10.1016/j.amjoto.2017.06.008. Epub 2017 Jun 21.
Steroid-releasing sinus stents have emerged as a safe and effective tool in endoscopic sinus surgery. In this case report, we present two patients with recurrent cystic sellar masses. Transsphenoidal approach was used to access the sella. Following resection and drainage of the cystic pathology, a Propel (Menlo Park, CA) stent was placed through the corridor of the resection site to stent the cavity open. This is the first report where a steroid-releasing sinus stent was used in the treatment of a sellar lesion. It supports that this technology is safe and effective for use in skull base surgery.
释放类固醇的鼻窦支架已成为鼻内镜鼻窦手术中一种安全有效的工具。在本病例报告中，我们展示了两名患有复发性鞍区囊性肿物的患者。采用经蝶入路进入鞍区。在切除囊性病变并引流后，通过切除部位的通道置入一个Propel（加利福尼亚州门洛帕克）支架，以撑开术腔。这是首次报告使用释放类固醇的鼻窦支架治疗鞍区病变。这支持了该技术在颅底手术中使用是安全有效的。
