Voegels R L, Luxemberger W, Stammberger H
Department of Otolaryngology, University of Graz Medical School, Austria.
Ann Otol Rhinol Laryngol. 1998 Aug;107(8):654-7. doi: 10.1177/000348949810700804.
The use of endoscopy in the paranasal sinuses has grown and diversified in the past few years. We present a case of an immature malignant teratoma originating from the sinuses, with intracranial extension to the middle and posterior fossae, that was managed and removed endoscopically. At the age of 2 months, the patient was hospitalized for respiratory instability. Diagnosis was made with biopsy, and chemotherapy was introduced. After 4 weeks, an endonasal endoscopic approach was performed, and a complete macroscopic removal of the tumor was achieved without complications. Follow-up for 10 months with magnetic resonance imaging and endoscopic examination has not revealed recurrence. In selected cases, the endonasal endoscopic technique may be a good alternative to the external approach, reducing the operative trauma and mortality.
在过去几年中，鼻窦内镜检查的应用不断增加且日益多样化。我们报告一例起源于鼻窦的未成熟恶性畸胎瘤病例，该肿瘤向颅中窝和后颅窝颅内扩展，通过内镜进行了处理和切除。患儿2个月大时因呼吸不稳定入院。经活检确诊，并开始化疗。4周后，采用鼻内镜入路，肿瘤得以完整肉眼切除，且无并发症发生。通过磁共振成像和内镜检查随访10个月未发现复发。在某些特定病例中，鼻内镜技术可能是一种优于外部入路的选择，可减少手术创伤和死亡率。
