Zhao W, Ji Y J, An Y F, Zhao C Q
Shanxi Medical University, Taiyuan, 030001, China.
Department of Otorhinolaryngology Head and Neck Surgery, the Second Hospital of Shanxi Medical University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 May;33(5):411-415. doi: 10.13201/j.issn.1001-1781.2019.05.007.
To investigate the anatomy and application of endoscopic transpterygoid intervention in lesions of lateral recess of sphenoid sinus(LRSS). Four hospitalized patients with lesions of LRSS were studied. The clinical presentations included spontaneous cerebrospinal fuild(CSF) leakage in 2 cases, meningoencephaolece complicated CSF leakage in 1 case and chronic invasive fungal sphenoid sinusitis invading the base of the middle fossa in 1 case. Endoscopic transpterygoid intervention and repairment of skull base defects were performed under general anesthesia. he operations were successfu1 in all patients. One patient suffered from postoperative palatal hypesthesia and all the symptoms mentioned above relieved gradually 6 months after operation. No recurrence was found during the follow-up ranging from 6 to 45 months(mean follow-up period,22.75 months). Endoscopic transpterygoid intervention in lesions of LRSS is a minimally invasive and safe surgical approach.
探讨经翼突入路内镜手术在蝶窦外侧隐窝病变中的解剖及应用。对4例因蝶窦外侧隐窝病变住院患者进行研究。临床表现为：2例自发性脑脊液漏，1例脑膜脑膨出合并脑脊液漏，1例慢性侵袭性真菌性蝶窦炎侵犯中颅窝底。在全身麻醉下行经翼突入路内镜手术及颅底缺损修复术。所有患者手术均成功。1例患者术后出现腭部感觉减退，术后6个月上述症状逐渐缓解。随访6～45个月（平均随访时间22.75个月），无复发。经翼突入路内镜手术治疗蝶窦外侧隐窝病变是一种微创、安全的手术方法。
