Fisch U P, Oldring D J, Senning A
Otolaryngol Head Neck Surg (1979). 1980 Sep-Oct;88(5):548-54. doi: 10.1177/019459988008800507.
Five cases of carotid artery lesions at the skull base or temporal bone, treated surgically, are presented. These lesions include mycotic aneurysms and carotid stenosis secondary to angiofibroma and a glomus caroticum. One case demonstrated an anomalous carotid anatomic pattern with a persistent stapedial artery. A description is provided of the technique of subtotal petrosectomy with permanent anterior displacement of the facial nerve, and middle ear obliteration, thus achieving a safe exposure of the temporal course of the internal carotid artery. The cases indicate that cooperation between temporal bone surgeons and vascular surgeons is a prerequisite to successful repair of such lesions, as good recovery in all five cases was achieved. The techniques allow maintenance of carotid flow during and after repair, reducing the potential for neurologic complications or mortality.
本文介绍了5例经手术治疗的颅底或颞骨颈动脉病变。这些病变包括霉菌性动脉瘤以及血管纤维瘤和颈动脉体瘤继发的颈动脉狭窄。1例显示出异常的颈动脉解剖模式，伴有镫骨动脉持续存在。文中描述了面神经永久性向前移位的部分岩骨切除术及中耳填塞技术，从而实现了颈内动脉颞部走行的安全暴露。这些病例表明，颞骨外科医生与血管外科医生的合作是成功修复此类病变的先决条件，因为所有5例患者均恢复良好。这些技术能够在修复过程中和修复后维持颈动脉血流，降低神经并发症或死亡率的可能性。
