经去颧弓扩大颞下入路切除海绵窦、岩尖、上斜坡肿瘤

• 作 者: 李善泉 罗其中 熊文浩 罗阳生 郑彦 邱永明 殷玉华 李骁雄 费智敏 潘耀华 万杰青
• 机 构: 上海第二医科大学附属仁济医院神经外科,上海４５５医院神经外科
• 出 处: 中国耳鼻咽喉颅底外科杂志
• 发表日期: 1997年01期
• 关键词: 颞下入路 颧弓 上斜坡 手术入路 岩尖 蝶骨嵴 手术空间 海绵窦 颞肌 脑膜瘤

本文介绍采用改进的去颧弓扩大颞下入路手术治疗８例位于或累及海绵窦、岩骨尖部、上斜坡、天幕游离前外缘肿瘤患者。该方法的要点是断去颧弓，扇形形成颞肌瓣，翻向颧弓断段以下，咬除蝶骨嵴外侧部分，形成低位颞额骨窗，仅轻度上抬颞叶，则可充分暴露病变范围。由于手术空间扩大，更利于肿瘤切除。本组８例均达到全部或大部分切除，患者术后均得以康复，原有体征不同程度改善。

This article describes the use of improved zygomatic arch to expand the infratemporal approach for the treatment of 8 cases located in or involving the cavernous sinus, petrous apex, on the slope, the canopy free anterior border tumor patients. The main point of this method is to cut off the zygomatic arch, fan-shaped temporal muscle flap, turn the zygomatic arch below the segment, biting the outer part of the sphenoid ridge, the formation of low temporal frontal bone window, only slightly elevated temporal lobe, can be sufficient Expose the extent of the disease. Due to the expansion of surgical space, more conducive to tumor resection. The group of 8 patients were all or most of the resection, patients were able to recover after surgery, the original signs of varying degrees of improvement.