颞骨和颞下窝联合入路侧颅底肿瘤切除术

探讨安全和彻底摘除广侵侧颅底及其相邻区的肿瘤的手术入路和方法。方法通过颞骨和颞下窝联合入路，应用显微外科技术摘除肿瘤，并尽可能维护或重建颅底和颅神经。

Transtemporal and transinfratemporal combined approaches in lateral skull base tumor surgery]

OBJECTIVE: Safe and complete removal of the tumor invading lateral skull base and its surrounding structures. METHODS: Tumor removal through combined approach of temporal and infratemporal fossa with microsurgical techniques for preservation or reconstruction of lateral skull base and cranial nerves. RESULTS: Sixty-two cases of benign and malignant tumors undergone surgery and followed up for five and more years showed: no recurrence in 67.7%, survival with tumor 25.8%, death 6.5% (only for malignancy). No complications of extra- or intra-cranial infection, cerebrospiral fluid leak and flap necrosis. CONCLUSION: Combined approach of temporal and infratemporal fossa is suitable for the surgery of those tumors that involve temporal bone and middle or posterior intracranial fossa, as well as infratemporal fossa.