Combined endoscopic-microsurgical approach for transsphenoidal (sphenopalatine) encephalocele with an intralesional pituitary gland. Case report.
Combined endoscopic-microsurgical approach for transsphenoidal (sphenopalatine) encephalocele with an intralesional pituitary gland. Case report.
复制标题
内窥镜显微外科联合手术治疗经蝶（蝶腭）脑膨出伴病灶内垂体。
DOI：
10.3171/2009.4.peds0884
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
D. d'Avella
中科院分区：
文献类型：
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作者：
R. Faggin;L. Pentimalli;M. Grazzini;R. Saetti;P. Drigo;D. d'Avella
婴儿经蝶窦蝶腭脑膨出的治疗尚未在文献中得到充分描述。翼点和额下经基底入路已被报道为经筛窦脑膨出的推荐治疗方法，但其治疗经蝶窦脑膨出的可行性仍存在争议，特别是在新生儿中。疝出组织内重要结构的潜在伤害和术中出血被认为是术后结果不佳的主要原因。作者介绍了一个足月新生儿的情况下，腭裂和一个大的经蝶窦蝶腭脑膨出，充满了鼻咽空间，并提供了病变内垂体的MRI证据。该病变是不寻常的，颅外口内内镜入路具有最佳的结果和保留垂体组织从未详细描述过这个年龄段的婴儿。
The treatment of the transsphenoidal sphenopalatine encephalocele in infants has not been thoroughly described in the literature. Pterional and subfrontal transbasal approaches have been reported as the advised treatment for transethmoidal encephalocele, but their feasibility for transsphenoidal encephalocele remains controversial, particularly in neonates. The potential harm to vital structures within the herniated tissue and intraoperative bleeding have been considered the major cause of poor postoperative results. The authors present the case of a full-term newborn with a cleft palate and a large transsphenoidal sphenopalatine encephalocele, which filled the nasopharyngeal space and provided MR imaging evidence of an intralesional pituitary gland. The lesion is unusual, and the extracranial intraoral endoscopic approach with an optimal outcome and sparing of the pituitary tissue has never been described in detail in an infant of this age.