论文部分内容阅读
目的:观察改良标准面移位进路术治疗颅中窝底前外侧良性肿瘤的可行性及效果。方法:对10例原发于翼腭窝、鼻咽部并向颅中窝海绵窦旁、颞下窝或翼颌间隙呈扩张性生长的较大良性肿瘤行单纯改良标准面移位进路和颅面联合进路2种术式切除,术中对面部切口、上颌骨拆卸、复位、固定、窦内黏膜取舍及鼻腔外侧壁保留等做了部分改进。结果:术后平均随访3年2个月,成功9例,死亡1例,无出血、感染和移位骨坏死脱出等并发症。结论:采用改良标准面移位进路术治疗颅中窝底前外侧良性肿瘤,手术安全,疗效好。
OBJECTIVE: To observe the feasibility and effect of modified standard face shift approach for the treatment of benign tumors in the anterior midcranial fossa. Methods: The simple benign tumors in 10 cases of primary benign tumors in the pterygopalatine fossa, nasopharynx and adjacent to the middle cranial fossa cavernous sinus, temporomandibular fossa, Craniofacial approach two kinds of surgical resection, intraoperative incision on the face, maxillary removal, reduction, fixation, sinus mucosa and the outer wall of the nasal part of the reservation made some improvements. Results: All patients were followed up for an average of 3 years and 2 months. Nine patients were successfully treated and 1 patient died without complications of hemorrhage, infection and displaced osteonecrosis. Conclusion: The improved standard face shift approach for the treatment of benign tumors in the anterior midfacial forefoot is safe and effective.