论文部分内容阅读
颞下窝进路摘除中颅窝底部肿瘤术野暴露满意,便于操作。尤其是肿瘤与颅底附近和重要结构的解剖关系,如颈内动脉,颈静脉球,第Ⅸ、Ⅹ、Ⅺ、Ⅻ对脑神经等循此进路暴露十分清楚,便于术中分离保护。面神经改道前移,可避免术后并发面瘫。本文报道经此进路手术者8例,计有颈静脉球体瘤2例,中颅窝底胆脂瘤1例,侵犯中颅窝底部中耳癌3例及放射未能治愈的鼻咽癌2例。简要地介绍了手术操作的方法和步骤。
The infratemporal fossa approach removed the tumor in the middle cranial fossa and had satisfactory field exposure. In particular, the anatomical relationship between the tumor and the skull base and important structures, such as the internal carotid artery, jugular bulb, and IX, X, XI, and XII, the cranial nerves, etc., are clearly exposed through this approach, facilitating the isolation and protection during surgery. Forward facial nerve diversion can avoid postoperative facial paralysis. This article reports 8 patients undergoing this approach, including 2 cases of jugular glomus tumors, 1 case of middle cranial fossa cholesteatoma, 3 cases of infringement of the middle cranial fossa bottom middle ear cancer and nasopharyngeal carcinoma with no radiotherapy 2 example. The method and procedure for surgical operations are briefly described.