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目的:探讨鼻侧切开额窦内板硬膜外进路在切除前颅底颅鼻沟通性肿瘤中的应用。方法:对6例前颅底颅鼻沟通性肿瘤患者,采用鼻侧切开额窦内板硬膜外进路切除肿瘤并修补颅底。结果:6例患者均完整切除瘤体,随访2年,5例肿瘤无复发,均无脑脊液鼻漏、脑膜脑膨出、额部塌陷等并发症,面部外形良好。结论:颅鼻沟通性肿瘤需要根据肿瘤大小、部位及性质选择最佳手术进路。鼻侧切开额窦内板硬膜外进路前颅底颅鼻沟通性肿瘤切除术可由头颈外科医生独立操作完成,具有创伤小、手术时间短、对颅脑损伤轻、颅底修复方便等优点,是一有价值的手术治疗方式。
Objective: To investigate the application of nasal open frontal sinus lamina propria in the removal of anterior cranial base tumors. Methods: Six patients with cranial-nasal tumors of the anterior skull base were treated with nasal dilatation of the frontal cortex and epidural approach to remove the tumor and repair the skull base. Results: All the 6 patients underwent complete resection of the tumor. No recurrence was found in 5 patients after the follow-up of 2 years. None of the 6 patients had cerebrospinal fluid rhinorrhea, encephalocele bulging, forehead collapse and other complications. The facial appearance was good. Conclusion: Nasal cranial tumors need to select the best surgical approach according to tumor size, location and nature. Nasal lateralization of the frontal sinus plate epidural approach cranial base skull nasal tumor resection surgery can be done independently by the head and neck surgeons, with less trauma, shorter operative time, less head injury, skull base repair and more convenient Advantages, is a valuable surgical treatment.