经眶上开颅术治疗大型前颅底脑膜瘤：技术说明
Supraorbital Craniotomy for Large Anterior Skull Base Meningiomas: A Technical Note.
作者信息
Khanapure Kiran, Joshi Krishna Chaitanya, Jagannatha Aniruddha T, Perikal Parichay J, Quryshi Syed Aezaz, Srikantha Umesh, Verma Ravi Gopal, Hegde Alankar S
机构信息
Department of Neurosurgery, Ramaiah Medical College, Bengaluru, Karnataka, India.
The Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Department of Neurosurgery, Neurological Institute, Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio, USA.
出版信息
Asian J Neurosurg. 2019 Jul-Sep;14(3):767-772. doi: 10.4103/ajns.AJNS_40_19.
BACKGROUND
Supraorbital craniotomy (SOC) has brought a paradigm shift in approaching anterior skull base lesions. With better understanding of relevant anatomy, the indications are being stretched from highly selected, small-to-moderate-sized tumors to large and complex anterior skull base lesions.
OBJECTIVE
We share our experience and discuss the nuances of surgery for large anterior skull base meningiomas using the SOC.
METHODS
This is a single institute study using prospectively collected retrospective data from seven cases of large anterior skull base meningiomas (>3 cm) using the SOC. We reviewed the indications, safety, and procedural complications in these cases.
RESULTS
Simpson's Grade 2 excision was achieved in all these seven cases, with faster postoperative recovery. Follow-up clinical outcome and cosmesis were satisfactory.
CONCLUSION
SOC is a safe alternative for the standard skull base approaches in treating large anterior skull base meningiomas. The SOC can be effectively used to treat selected large anterior skull base meningiomas.
背景
眶上开颅术（SOC）在处理前颅底病变方面带来了范式转变。随着对相关解剖结构的深入理解，其适应证正从高度选择性的中小型肿瘤扩展至大型和复杂的前颅底病变。
目的
我们分享使用SOC治疗大型前颅底脑膜瘤的经验并讨论手术细节。
方法
这是一项单机构研究，使用前瞻性收集的7例采用SOC治疗的大型前颅底脑膜瘤（>3 cm）的回顾性数据。我们回顾了这些病例的适应证、安全性和手术并发症。
结果
这7例均实现了辛普森2级切除，术后恢复更快。随访临床结果和美容效果均令人满意。
结论
SOC是治疗大型前颅底脑膜瘤的标准颅底手术方法的一种安全替代方案。SOC可有效用于治疗特定的大型前颅底脑膜瘤。
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