Nicolás Solano, Ejusmar Rivera, Lozano Alfonso, Lobo Cesar
Deparment of Craniofacial Surgery, Coromoto's Hospital, Oral Surgery Post-graduated Program, School of Dentistry, Zulia's University.
Deparment of Craniofacial Surgery, Coromoto's Hospital, Oral Surgery Post-Graduate Program, School of Dentistry, Zulia's University, Deparment of Craniofacial Surgery, Coromoto's Hospital, Maracaibo, Venezuela.
J Craniofac Surg. 2019 Nov-Dec;30(8):2313-2314. doi: 10.1097/SCS.0000000000005683.
Surgical access to tumors involving the midline skull base remains a considerable challenge for surgeons. Various surgical approaches for treating these tumors like transnasal, transantral, and endoscopic approaches sometimes have anatomical limitations. This paper describes a transoral approach with a Lefort I osteotomy that allows a great visualization, not only to the center of the skull base but also the infratemporal fossa. This technique may be used for the surgical resection of extracranial and intracranial benign tumors, and non-neoplastic intradural pathology, which does not require dural resection. The authors will review proper patient selection, surgical exposure, operative procedure, and complications.
对于外科医生而言，手术切除累及中线颅底的肿瘤仍然是一项巨大挑战。治疗这些肿瘤的各种手术入路，如经鼻、经鼻窦和内镜入路，有时存在解剖学上的局限性。本文描述了一种采用勒福Ⅰ型截骨术的经口入路，该入路不仅能很好地显露颅底中央，还能显露颞下窝。该技术可用于手术切除颅外和颅内良性肿瘤以及不需要切除硬脑膜的非肿瘤性硬脑膜内病变。作者将回顾合适的患者选择、手术显露、手术步骤及并发症。
