经额颞颧下颌联合入路切除中颅凹颞下凹沟通肿瘤  

COMBINED FRONTOTEMPORAL, ZYGOMATIC AND MANDIBULAR APPROACHTO LARGE SUBAND INFRATEMPORAL FOSSA NEOPLASM

作　　者：鲍圣德[1,2] 尤玉才[1,2] 张建国[1,2] 俞光岩[1,2] 王象昌[1,2] V.Seifert 

机构地区：[1]北京医科大学第一医院神经外科 [2]德国莱比锡大学医学院

出　　处：《北京医科大学学报》1998年第2期174-176,共3页Journal of Peking University(Health Sciences)

摘　　要：目的：探讨一种切除中颅凹颞下凹沟通肿瘤的颅面联合入路。方法：采用经额颞颧下颌联合手术入路切除肿瘤。结果：显微镜下全切肿瘤的患者经远期随访无神经系统症状及体征。结论：该入路暴露充分，对脑组织牵拉小，能在颈部控制颈内、外动脉，尽早辨认并保护面神经，对切除中颅凹颞下凹沟通肿瘤十分有利。Objective: A combined cranialfacial approach to large sub and infratemporal fossa neoplasm was described and discussed. Methods: A combined frontotemporal, zygomatic and mandibular approach was used. Results: Tumor has been totally removed microsurgically without any neurological symptoms and signs with longterm follow up. Conclusion: The advantages were offered by this approach, such as extensive exposure of the midcranial base as well as infratemporal fossa, minimal brain retraction, direct control of the ipsilateral upper cervical internal and external carotid artery and being easy to find and protect the facial nerve.

关 键 词：脑肿瘤 外科手术 颅-面联合入路 

分 类 号：R739.410.5[医药卫生—肿瘤]