扩大鼻侧切开联合额骨开窗治疗颅鼻沟通瘤

目的探讨颅鼻沟通瘤的手术入路和术后颅底组织缺损的修复方法。方法对5例鼻腔鼻窦肿瘤累及前颅底的手术入路、手术方法、修复材料、并发症、手术效果及生存率进行回顾性分析。结果全部病人随访3~5年,无脑脊液鼻漏、颅内感染等明显并发症。3年生存率为100%,5年生存率为80%。结论扩大鼻侧切开联合房垛样额骨开窗切除颅鼻沟通瘤,修复颅底缺损、重建功能是一种简便、安全、有效的方法。

Extended Lateral Rhinotomy Combined with Fenestration in Frontal Bone for Resection of Communicational Neoplasms in Paranasal Sinus

Objective To explore the operative approach to cranio-nasal communicational tumors and the reconstruction of cranial base defect.Methods We retrospectively reviewed the medical data including operative approach,repair material,postoperative complication,surgical outcome and survival rate in five patients with advanced malignant tumors in nasal cavities and paranasal sinuses involving frontal cranial fossa.Results All the patients were followed up for 3-5 years.There was no death during operation and severe complications such as cerebrospinal fluid leakage,infection,and so on in this series.The 3-year survival rate was 100% and the 5-year survival rate was 80%.Conclusion Extended lateral rhinotomy,combined with fenestration in frontal bone for resection of communicational neoplasms in paranasal sinus,repairing of cranial base defect and reconstruction of function at the same time,is a simple,safe and effective way and is worth applying in clinic.