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近年来,由于颅颌面外科与显微外科手术的进步,前颅底、头面部肿瘤手术治愈率明显提高,同时肿瘤切除后缺损与再建方法也逐渐增加,特别是应用各种肌皮瓣,如带蒂帽状腱膜骨膜及颞浅筋膜瓣的采用,游离腹直肌皮瓣及游离背阔肌皮瓣等的应用,使重建外科手术提高到一个新的水平。本文收集13例前颅底、副鼻窦恶性肿瘤,采用经颅-鼻腔双重人路方法切除肿瘤。术中行双额冠状瓣开颅、骨瓣形成、经前颅窝底探查肿瘤侵犯部位及程度,一期整块切除前颅底及筛窦恶性肿瘤。应用鼻窦
In recent years, due to the progress of craniomaxillofacial surgery and microsurgery, the surgical cure rate of anterior skull base and head and face tumor is obviously improved. At the same time, the method of defect and reconstruction after tumor resection is also gradually increased. Especially with various myocutaneous flaps, Such as the use of pedicled aponeurosis periosteum and temporal superficial fascia flap, the free rectus abdominis flap and the free latissimus dorsi flap, the reconstruction surgery to a new level. This article collected 13 cases of anterior skull base, paranasal sinus malignancy, using transcranial nasal approach to remove the tumor. Surgery double coronal valve craniotomy, bone flap formation, through the anterior cranial fossa exploration of tumor invasion sites and extent of an anterior resection anterior skull base and ethmoid malignant tumors. Apply sinus