上颌-额-颞入路在颞下窝肿瘤手术中的临床应用  

Clinical application of maxilla-fronto-temporal approach on removal of infratemporal fossa tumors

作　　者：郭玉兴[1] 郭睿[1] 张雷[1] 郭传瑸[1] 

机构地区：[1]北京大学口腔医院口腔颌面外科,北京100081

出　　处：《中国耳鼻咽喉颅底外科杂志》2015年第1期31-34,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：国家高技术研究发展计划(2012AA041606)

摘　　要：目的采用自行设计的上颌-额-颞手术入路,行颞下窝肿瘤手术切除,观察手术效果及其并发症。方法回顾性分析采用上颌-额-颞手术入路切除的12例颞下窝肿瘤患者临床资料,评价上颌-额-颞入路切除肿瘤的效果。结果 12例患者手术中切除肿瘤顺利,手术后并发症轻微。结论对于巨大颞下窝、翼腭窝肿瘤,涉及侧颅底者采用上颌-额-颞入路可以顺利切除肿瘤。此手术入路可以充分暴露手术视野,保护面神经,同时便于制取颞肌瓣充填组织缺损。Objective To explore the efficiency and complications of a new approach,maxilla-fronto-temporal approach of our own design,for removal of tumors involving infratemporal fossa.Methods Clinical data of 12 patients with infratemporal fossa tumors resected via maxilla-fronto-temporal approach were analyzed retrospectively.Results Tumors got successfully resected in all cases via this approach with minor complications.Conclusion With advantages of adequate protection of facial nerve,extended operation field and filling of dead space with exposed temporal muscle,the maxilla-fronto-temporal approach is especially useful in removal of tumors involving infratemporal fossa.

关 键 词：颞下窝 翼腭窝 肿瘤 手术入路 

分 类 号：R739.8[医药卫生—肿瘤]