A COMBINED INFRATEMPORAL AND POSTERIOR-FOSSA APPROACH FOR THE REMOVAL OF GIANT GLOMUS TUMORS AND CHONDROSARCOMAS
A COMBINED INFRATEMPORAL AND POSTERIOR-FOSSA APPROACH FOR THE REMOVAL OF GIANT GLOMUS TUMORS AND CHONDROSARCOMAS
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DOI：
10.1016/0090-3019(87)90224-2
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发表时间：
1987-12-01
影响因子：
--
通讯作者：
SMITH, RR
中科院分区：
文献类型：
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作者：
ALMEFTY, O;FOX, JL;SMITH, RR
具有较大后颅窝延伸的巨大颈静脉球肿瘤被认为无法手术或至少需要两阶段手术。同样，颞骨软骨肉瘤的手术方法和治疗也存在争议。我们描述了一种组合方法，在显微外科和激光技术的帮助下，可以在一个阶段去除此类肿瘤。手术入路包括外侧颞下入路联合后颅窝去骨瓣切除术。 该技术用于七个病例：五个颈静脉球肿瘤和两个软骨肉瘤。没有死亡，手术并发症包括其中四名患者的面神经无力以及一名患者的胃肠道出血和呼吸窘迫综合征。
Giant glomus jugulare tumors with a large posterior fossa extension are considered either inoperable or at least requiring of a two-stage operation. Likewise, the surgical approach and treatment for chondrosarcomas of the temporal bone are controversial. We describe a combined approach in which, with the aid of microsurgical and laser techniques, such tumors can be removed in one stage. The surgical approach involves a lateral infratemporal approach combined with a posterior fossa craniectomy. This technique was used in seven cases: five glomus jugulare tumors and two chondrosarcomas. There were no deaths, and surgical morbidity consisted of weakness in the facial nerve in four of these patients and gastrointestinal hemorrhage and respiratory distress syndrome in one patient.