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我是这样做的：经鼻内筛窦、筛板入路切除巨大嗅沟脑膜瘤。

How I Do It: Endonasal transethmoidal, transcribriform approach for resection of giant olfactory groove meningioma.

机构信息

College of Medicine, Chicago Medical School at Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA.

College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

出版信息

Acta Neurochir (Wien). 2022 Nov;164(11):2981-2985. doi: 10.1007/s00701-022-05308-5. Epub 2022 Jul 7.

DOI:10.1007/s00701-022-05308-5
PMID:35794428
Abstract

BACKGROUND

Olfactory groove meningiomas (OGMs) arise from the cribriform plate of the anterior fossa and account for 9-12% of all meningiomas. Giant OGMs are those larger than 6 cm and are technically challenging to resect.

METHOD

Here we present the surgical decision-making and intraoperative details regarding the endonasal endoscopic resection of an OGM using a minimally invasive, endonasal approach in a 68-year-old female patient.

CONCLUSION

Giant OGMs can be safely and effectively removed using an endonasal, transcribriform approach.

摘要

背景

嗅沟脑膜瘤（OGM）起源于前颅窝筛板，占所有脑膜瘤的 9-12%。巨大嗅沟脑膜瘤是指大于 6 厘米的脑膜瘤，其切除技术具有挑战性。

方法

本文介绍了一例 68 岁女性患者采用经鼻内镜微创入路切除嗅沟脑膜瘤的手术决策和术中细节。

结论

采用经鼻、经筛板入路可以安全有效地切除巨大嗅沟脑膜瘤。

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Acta Neurochir (Wien). 2022 Nov;164(11):2981-2985. doi: 10.1007/s00701-022-05308-5. Epub 2022 Jul 7.
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本文引用的文献

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Cost-effectiveness of endoscopic endonasal vs transcranial approaches for olfactory groove meningioma.鼻内镜下经鼻入路与经颅入路治疗嗅沟脑膜瘤的成本效益分析
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Smell Preservation following Unilateral Endoscopic Transnasal Approach to Resection of Olfactory Groove Meningioma: A Multi-institutional Experience.单侧鼻内镜经鼻入路切除嗅沟脑膜瘤后的嗅觉保留：多机构经验
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ICAR: endoscopic skull-base surgery.
ICAR：内镜颅底手术。
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Olfactory groove and tuberculum sellae meningioma resection by endoscopic endonasal approach versus transcranial approach: A systematic review and meta-analysis of comparative studies.经鼻内镜入路与经颅入路切除嗅沟和鞍结节脑膜瘤：比较研究的系统评价和荟萃分析
Clin Neurol Neurosurg. 2018 Nov;174:13-20. doi: 10.1016/j.clineuro.2018.08.029. Epub 2018 Aug 28.
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Modern Microsurgical Resection of Olfactory Groove Meningiomas by Classical Bicoronal Subfrontal Approach without Orbital Osteotomies.采用经典双冠状额下入路且不进行眶骨切开术对嗅沟脑膜瘤进行现代显微手术切除。
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Endoscopic endonasal surgery for olfactory groove meningiomas: outcomes and limitations in 50 patients.经鼻内镜手术治疗嗅沟脑膜瘤：50例患者的疗效及局限性
Neurosurg Focus. 2014;37(4):E8. doi: 10.3171/2014.7.focus14330.
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Olfactory groove meningiomas: a retrospective study on 59 surgical cases.嗅沟脑膜瘤：59 例手术病例回顾性研究。
Neurosurg Rev. 2012 Apr;35(2):195-202; discussion 202. doi: 10.1007/s10143-011-0353-2. Epub 2011 Sep 30.
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Endoscopic endonasal transethmoidal transcribriform transfovea ethmoidalis approach to the anterior cranial fossa and skull base.经鼻内镜筛窦前颅底及颅前窝手术入路。
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Giant olfactory meningiomas: the pterional approach and its relevance for minimizing surgical morbidity.巨大嗅沟脑膜瘤：翼点入路及其对降低手术并发症的意义
Skull Base Surg. 1999;9(1):23-31. doi: 10.1055/s-2008-1058169.