| 经去颧弓扩大颞下入路切除海绵窦,岩尖,上斜坡肿瘤 |
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| 引用本文： | 李善泉 罗阳生. 经去颧弓扩大颞下入路切除海绵窦,岩尖,上斜坡肿瘤[J]. 中国耳鼻咽喉颅底外科杂志, 1997, 3(1): 12-15 |
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| 作者姓名： | 李善泉 罗阳生 |
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| 作者单位： | 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 |
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| 摘 要： | 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。
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| 关 键 词： | 手术入路 颅底 脑瘤 |
EXTENSIVE SUBTEMPORAL APPROACH WITH REMOVING ZYGOMATIC ARCH FOR CAVERNOUS SINUS, PETROUS APEX AND SUPERIOR CLIVUS LESIONS |
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| Li Shanquan,Luo Qizhong,Xiong Wenhao,et al. EXTENSIVE SUBTEMPORAL APPROACH WITH REMOVING ZYGOMATIC ARCH FOR CAVERNOUS SINUS, PETROUS APEX AND SUPERIOR CLIVUS LESIONS[J]. Chinese Journal of Otorhinolaryngology-skull Base Surgery, 1997, 3(1): 12-15 |
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| Authors: | Li Shanquan Luo Qizhong Xiong Wenhao et al |
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| Affiliation: | Li Shanquan,Luo Qizhong,Xiong Wenhao,et al Department of Neurosurgery,Renji Hospital Shanghai Second Medical University,Shanghai,200001 |
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| Abstract: | Modified extensive subtemporal approach with removing zygomatic arch was used for eight cases of tumors invading cavernous sinus, petrous apex and superior clivus After the removal of zygomatic arch the temporalis muscle was retracted inferiorly A subtemporal craniotomy was extended from the lateral part of sphenoid ridge to the mastoid process posteriorly This approach provided room in which, eight tumors were easily removed totally or subtotally There were no complications and symptoms |
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| Keywords: | Approach operation Skull base Brain neoplasms |
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