Alabdullah Muhammad Nour, Awad Abdulrahman, Abdullah Ammar, Alabdullah Hadi
Otorhinolaryngology Department, Al-Mowassat University Hospital, Damascus University, Damascus, Syrian Arab Republic.
Otorhinolaryngology Department, Tishreen Military Hospital, Damascus, Syrian Arab Republic.
J Surg Case Rep. 2022 May 5;2022(5):rjac203. doi: 10.1093/jscr/rjac203. eCollection 2022 May.
Epidermoid cysts (EC) are benign lesions resulting from incomplete separation of the neuroectoderm during embryonic development. The investigation of choice for EC is magnetic resonance imaging (MRI). Surgical resection is the treatment of choice. Full resection of EC including the cyst wall to prevent recurrence and malignant transformation should be considered when possible. Two main approaches were described in the literature and included craniotomy and endoscopic endonasal approach (EEA). Using of EEA to accomplish total resection could be challengeable. To best of our knowledge, only 6 manuscripts (with a total of eight patients) reported total resection of EC by using EEA. Our case should be the ninth such cases in the literature. In this paper, we reported a case of sellar and suprasellar epidermoid cyst which was resected completely by using EEA. We revealed the safety and efficacy of this approach in management of such cases.
表皮样囊肿（EC）是胚胎发育期间神经外胚层不完全分离导致的良性病变。EC的首选检查方法是磁共振成像（MRI）。手术切除是首选治疗方法。可能的情况下，应考虑完整切除EC，包括囊肿壁，以防止复发和恶变。文献中描述了两种主要方法，包括开颅手术和鼻内镜鼻内入路（EEA）。使用EEA实现完全切除可能具有挑战性。据我们所知，仅有6篇手稿（共8例患者）报道了使用EEA完全切除EC。我们的病例应是文献中第9例此类病例。在本文中，我们报道了1例经蝶鞍和鞍上表皮样囊肿，通过使用EEA完全切除。我们揭示了该方法在此类病例治疗中的安全性和有效性。
