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蝶筛窦脑膜膨出:内镜手术入路

Sphenoethmoidal Meningocele: Endoscopic Approach.

作者信息

Ramdani Naoufal, Rguyeg Abdelilah, Benfdil Drissia, Lachkar Azzedine, Elayoubi Fahd

机构信息

Otorhinolaryngology, Centre Hospitalier Universitaire Mohammed V, Faculty of Medicine and Pharmacy, Mohamed First University, Oujda, MAR.

Head and Neck Surgery, Centre Hospitalier Universitaire Mohammed V, Faculty of Medicine and Pharmacy, Mohamed First University, Oujda, MAR.

出版信息

Cureus. 2023 Feb 15;15(2):e35022. doi: 10.7759/cureus.35022. eCollection 2023 Feb.

Abstract

The sphenoethmoidal meningocele is a herniation of the meninges through a communication of the skull base with an aeric cavity. It means the presence of an osteomeningeal breach, which is manifested by cerebrospinal rhinorrhea and nasal obstruction. iIs diagnosis is based on a very specific radiological assessment and biology allows the dosage of certain substances to confirm the nature of the cerebrospinal fluid, such as beta-2-transferrin, Once the breach has been found, the endoscopic route exclusively allows the pathology to be treated and the defect to be reconstructed using different materials before the occurrence of serious complications such as meningitis.

摘要

蝶筛脑膜膨出是指脑膜通过颅底与气腔之间的通道疝出。这意味着存在骨膜缺损,表现为脑脊液鼻漏和鼻塞。其诊断基于非常特定的影像学评估,生物学检测可对某些物质进行定量分析以确认脑脊液的性质,如β-2-转铁蛋白。一旦发现缺损,在内镜路径下可在诸如脑膜炎等严重并发症发生前,仅通过该路径对病变进行治疗并用不同材料修复缺损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a5/10022704/7909fb0e311e/cureus-0015-00000035022-i01.jpg

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