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近20年来,颅面联合进路在鼻-前颅底外科的应用,使曾认为不能或不易彻底切除的侵犯前颅底的鼻部恶性肿瘤得以手术治疗。随着本术式的不断完善,手术并发症的减少和5年生存率的不断提高,其已成为鼻-前颅底外科的一条主要手术进路。本文就国内外颅面联合进路的发展、手术方式及临床应用情况综述如下。 鼻腔和鼻窦的良性或恶性肿瘤可破坏前颅底骨质及其邻近结构。经典的鼻侧切开术因术野狭小,
In the past 20 years, the craniofacial joint approach has been used in nasal-anterior skull base surgery to allow surgical treatment of nasal malignancies that infringe on the anterior skull base, which was considered impossible or difficult to completely remove. With the continuous improvement of this surgical technique, the reduction of surgical complications and the continuous improvement of the 5-year survival rate, it has become a major surgical approach for nasal-anterior skull base surgery. This article summarizes the development of the craniofacial joint approach at home and abroad, the surgical approach, and its clinical applications. Benign or malignant tumors of the nasal cavity and paranasal sinus can destroy the anterior skull base bone and its adjacent structures. The classic nasal incision is due to the narrow operative field.