颞下窝入路切除翼腭窝巨大骨软骨瘤1例病例报道并文献复习  

Resection of giant osteochondroma in pterygopalatine fossa via infratemporal fossa approach:a case report and literature review

作　　者：张力 马驰原 白万山 孙乐安 李振兴 林毅兴 ZHANG Li;MA Chiyuan;BAI Wanshan(Department of Neurosurgery,General Hospital of the Eastern War Zone,Nanjing 210002,China)

机构地区：[1]东部战区总医院神经外科,南京210002

出　　处：《临床神经外科杂志》2023年第6期682-685,共4页Journal of Clinical Neurosurgery

基　　金：国家自然科学基金资助项目(82101461)。

摘　　要：目的探讨翼腭窝巨大骨软骨瘤的显微手术治疗。方法回顾性分析2022年3月东部战区总医院收治的1例翼腭窝巨大骨软骨瘤患者的临床资料,并结合相关文献进行复习。患者因右侧面部麻木伴嗅觉减退入院,头颅CT及MRI检查示,右侧翼腭窝巨大骨瘤,右侧蝶骨翼突、蝶骨大翼、颞骨及乳突骨质改变。根据检查结果,考虑右侧翼腭窝骨软骨瘤,遂行经额颞下窝入路翼腭窝骨软骨瘤切除术。结果术中病变完全切除,术后患者无明显并发症,头颅CT示病变完全切除,病理提示骨软骨瘤。患者已出院,随访中。结论翼腭窝骨软骨瘤较罕见,结合头颅CT及MRI有助于诊断,经额颞下窝入路切除翼腭窝骨软骨瘤具有病变切除完整、创伤小、恢复快等优点。Objective To investigate the microsurgical treatment of giant osteochondroma in pterygopalatine fossa.Methods The clinical data of 1 patient with giant osteochondroma in pterygopalatine fossa admitted to Department of Neurosurgery,General Hospital of the Eastern War Zone in March 2022 was analyzed retrospectively.The relevant literature were reviewed.The patient was admitted due to right facial numbness with decreased olfactory function.The skull CT and MRI examination showed that there was a giant osteoma in the right pterygopalatine fossa,and there were bone changes in right sphenoid pterygoid process,greater sphenoid wing,temporal bone and mastoid process.According to the examination results,osteochondroma of the right pterygopalatine fossa was considered,and the lesions was resected through the infratemporal fossa approach.Results The lesion was completely removed in the operation,and the patient had no obvious complications after the operation.The skull CT showed that the lesion was completely resected postoperatively,and the pathology indicated osteochondroma.Conclusions Osteochondroma of pterygopalatine fossa is rare.Combination of skull CT and MRI is helpful for diagnosis.Resection of osteochondroma in pterygopalatine fossa via infratemporal fossa approach has the advantages of complete resection,less trauma and rapid recovery.

关 键 词：翼腭窝 骨软骨瘤 临床特征 治疗方法 

分 类 号：R739.41[医药卫生—肿瘤]