Mann W, Gilsbach J, Amedee R, Seeger W
Department of Otolaryngology, University of Freiburg Medical School, Federal Republic of Germany.
Arch Otorhinolaryngol. 1988;245(2):69-73. doi: 10.1007/BF00481438.
In the early years of skull base surgery, total tumor removal was often deemed impossible due to involvement of the intrapetrous carotid artery. In contrast, previously considered unresectable lesions may be removed totally in selected cases, with reasonable expectation of successful treatment at the present time. Current techniques and operative exposures, when modified to accommodate the problem of intracranial extensions of tumor and when approached with neurosurgical collaboration, permit the removal of many of these difficult tumors. This retrospective study of 33 patients treated over the past 5 years offers a critical analysis of our treatment, and a categorization of abnormalities known to affect this anatomic region containing the vessel.
在颅底手术开展的早期，由于岩骨段颈内动脉受累，常常认为无法完全切除肿瘤。相比之下，以前被认为不可切除的病变在某些特定病例中可能会被完全切除，目前有合理的成功治疗预期。当前的技术和手术显露方式，当进行改进以适应肿瘤颅内扩展的问题，并在神经外科协作下进行时，能够切除许多这类困难的肿瘤。这项对过去5年中治疗的33例患者的回顾性研究，对我们的治疗方法进行了批判性分析，并对已知影响包含该血管的这一解剖区域的异常情况进行了分类。
