Cherekaev V A, Makhmudov U B, Osolodchenko L V, Taniashin S V, Vinokurov A G
Zh Vopr Neirokhir Im N N Burdenko. 1998 Jul-Sep(3):25-31.
Meningiomas of the skull base involving the orbit and paranasal sinuses were diagnosed in 254 patients. The patients were operated on in 1982-1991. All craniocephalic meningiomas involve the anterior skull base bones. The involvement presents either as destruction (nodular tumor) or as hyperostosis (infiltrative growth of the tumor). All patients were divided into 8 groups with different location of skull bones involvement. A classification of meningiomas of skull base disseminating into the orbit and paranasal sinuses is proposed, proceeding from the anatomical principle. This classification helps plan a surgical access, scope of intervention, probable size of skull defect and method of its closure, possible postoperative functional and cosmetic defects.
1982年至1991年间，对254例诊断为累及眼眶和鼻窦的颅底脑膜瘤患者进行了手术。所有颅脑脑膜瘤均累及前颅底骨。其累及表现为骨质破坏（结节状肿瘤）或骨质增生（肿瘤浸润性生长）。所有患者根据颅骨受累的不同部位分为8组。基于解剖学原理，提出了一种颅底脑膜瘤向眼眶和鼻窦扩散的分类方法。这种分类有助于规划手术入路、干预范围、可能的颅骨缺损大小及其闭合方法、可能出现的术后功能和美容缺陷。
