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在额窦脑膜瘤中采用部分鼻骨切开及重建的改良前颅面截骨术

Modified Anterior Craniofacial Osteotomy Using Partial Nasal Bone Division and Reconstruction in Frontoethmoidal Sinus Meningioma.

作者信息

Park Eon Ju, Kim Hong Il, Park Jin Hyung, Yi Hyung Suk

机构信息

Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine, Busan, Korea.

出版信息

Arch Craniofac Surg. 2017 Jun;18(2):117-121. doi: 10.7181/acfs.2017.18.2.117. Epub 2017 Jun 26.

Abstract

Typical transcranial approaches are insufficient for adequate visualization and resection of skull base tumors. Different approaches with multiple modifications have been attempted. Here, we describe a new approach for a lesion that is central and hard to treat by conventional craniotomy and successful reconstruction with calvarial bone graft and titanium mesh plate. A 69-year-old female patient presented with recurrent meningioma. The tumor had invaded the frontal lobe, right supraorbital rim, and ethmoidal bone. We performed a modified anterior craniofacial approach that fully exposed the tumor and invaded bone. In consideration of the patient's age and cosmetic result, the tumor and invaded bone was resected and the defect area was reconstructed with titanium mesh and calvarial bone graft. At 6 months postoperative the patient had no complications and was satisfied with the esthetic result. We report this case to demonstrate the successful approach and reconstruction using this technique.

摘要

典型的经颅入路不足以充分显露和切除颅底肿瘤。人们尝试了多种改良的不同入路。在此,我们描述一种针对常规开颅手术难以处理的中央性病变的新入路,并成功使用颅骨骨移植和钛网板进行重建。一名69岁女性患者患有复发性脑膜瘤。肿瘤侵犯了额叶、右眶上缘和筛骨。我们采用改良的前颅面入路,充分暴露肿瘤和受侵骨质。考虑到患者年龄和美容效果,切除肿瘤和受侵骨质,并用钛网和颅骨骨移植重建缺损区域。术后6个月,患者无并发症,对美容效果满意。我们报告此病例以展示使用该技术的成功入路和重建方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/564c/5556892/c843c48a421e/acfs-18-117-g001.jpg

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