摘要
目的探讨内镜经鼻入路颅底手术后使用钛网行前颅底重建的可行性。方法 2006年4月至2007年1月,选择8例内镜经鼻颅底手术后颅底骨质缺损的患者,术中尝试内镜下经鼻入路使用钛网行前颅底重建。将钛网剪成双排网眼约3.0 cm×2.0 cm 的条状,采用内镜引导下经鼻植入前颅底,依次由前向后使其横行嵌入双侧眶上壁与前颅底硬脑膜间,以修复前颅底骨质缺损。结果8例患者中前颅底骨质缺损2例,前颅底及蝶鞍骨质缺损2例,前颅底、蝶鞍及斜坡骨质均缺损4例。组织病理学类型:嗅神经母细胞瘤2例,鳞状细胞癌1例,软骨肉瘤1例,恶性纤维组织细胞瘤1例,脑膜瘤2例,脊索瘤1例。术后随访2～10个月,1例钛网移位于鼻腔,其余7例均未发生移位,且鼻腔侧有黏膜覆盖。结论内镜经鼻入路使用钛网行前颅底重建方法简便、安全、可行,并能够获得满意的重建效果。
Objective To investigate the feasibility of endoscopic transnasal reconstruction of skull base defect with titanium mesh. Methods Eight eases were seleeted to reconstruct their anterior skull base defects by endoscopic transnasal approach with titanium mesh between April, 2006 and January, 2007. Results Pathologies of these eases included two esthesioneuroblastomas, one squarnous cell carcinoma, one ehondrosareoma, one malignant fribroma, two meningiomas, and one ehordoma. The defects involved anterior-medial skull base in 2 eases, anterior skull base-sellar tureiea in 2 eases, and anterior skull base-sellar tureiea-elivus in 4 eases. All patients were followed up for 2 to 10 months after operation and were monitored with endoscopic examinations and imaging. Replacement of titanium mesh was found in one ease and other seven eases were sueeessfully reeonstreuted without replacement of titanium mesh. Conclusions Endoscopic transnasal reconstruction with titanium mesh is a feasible technique for defects of the anterior skull base. This procedure is simple and safe. Result of this protocol is desirable.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2007年第5期324-327,共4页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
关键词
内窥镜检查
颅底
耳鼻喉外科手术
钛网
Endoscopy
Skull base
Otorhinolaryngologie surgical procedures
Titanium mesh
