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本文介绍侧颅底显微手术治疗耳颞部肿瘤8例。其中采用颞上进路1例,颞下进路4例,颞后进路3例。结果存活7例,经15~8年随访无复发,例2左耳腺样囊性癌术后2年死于原发病。本文对该病的诊断步骤、辅助检查方法、手术进路、颅神经及大血管的保护,面神经的改道新法手术,以及手术复发死亡病例结合文献进行了讨论。
This article describes the side skull base microsurgery treatment of otolaryngological tumors in 8 cases. One case of superior temporal approach, 4 cases of infratemporal approach, 3 cases of posterior temporal approach. Results Survival in 7 cases, no recurrence after 1 5 to 8 years follow-up, case 2 left adenoid cystic carcinoma died of primary disease 2 years after surgery. In this paper, the diagnosis of the disease steps, auxiliary examination methods, surgical approach, the protection of cranial nerves and blood vessels, facial nerve nerve diversion surgery, and the death of recurrent cases were discussed in conjunction with the literature.