改良耳前颞下窝入路的临床应用:5例报告  

Clinical application of modified preauricular infratemporal fossa approach:report of 5 cases

作　　者：黄安炀[1] 徐振球[2] 潘广嗣[3] 陈凌[4] 

机构地区：[1]重庆市第九人民医院神经外科,重庆400700 [2]广州医学院第一附属医院神经外科,广东广州510120 [3]广州医学院第一附属医院口腔颌面外科,广东广州510120 [4]首都医科大学宣武医院神经外科,北京100053

出　　处：《中华神经外科疾病研究杂志》2010年第4期352-355,共4页Chinese Journal of Neurosurgical Disease Research

摘　　要：目的探讨改良耳前颞下窝入路切除侧颅底占位性病变的可行性。方法对5例侧颅底占位性病变采用改良耳前颞下窝入路,显微手术切除占位性病变。结果 5例侧颅底占位性病变,4例全切除,1例次全切除,面神经解剖和功能保存,无涎漏发生。结论改良耳前颞下窝入路对于侧颅底占位性病变是一种安全、有效的手术入路,需要神经外科与口腔颌面外科密切协作。Objective To explore the feasibility of removing the space-occupying lesions of lateral skull base via modified preauricular infratemporal fossa approach. Methods Modified preauricular infratemporal fossa approach was adopted in microsurgery of 5 cases of space-occupying lesions of lateral skull base. Results Total removal was achieved in 4 cases and subtotal removal was achieved in 1 case. The facial nerve was anatomically and functionally preserved and no salivary fistula occurred. Conclusion It is a safe and effective strategy to remove space-occupying lesions of lateral skull base via modified preanricular infratemporal fossa approach, which makes good cooperation between neurosurgery and oromaxillofacial surgery an important prerequisite.

关 键 词：颞下窝入路 侧颅底 面神经 涎漏 

分 类 号：R323.1[医药卫生—人体解剖和组织胚胎学] R651.1[医药卫生—基础医学]