JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (4): 51-54.doi: 10.6040/j.issn.1673-3770.0.2015.112

Previous Articles     Next Articles

The management of benign space-occupying lesion of the middle skull base via the endoscopic pterygopalatine space approaches.

ZHENG Chaopan, ZHOU Jingchun, HAN Ling, ZHANG Bo, MA Lingguo   

  1. Department of Otolaryngology, Shenzhen People's Hospital, Shenzhen 518000, Guangdong, China
  • Received:2015-03-10 Revised:2015-06-12 Online:2015-08-16 Published:2015-08-16

PDF (PC)

565

Abstract: Objective To discuss the surgical technique and indications of benign space-occupying lesion of the middle skull base via the endoscopic pterygopalatine space approaches. Methods Nine patients with benign space-occupying lesions of the middle skull base operated via the endoscopic pterygopalatine space approaches from May 2011 to December 2014 were retrospectively analyzed. The lesions included 3 schwannoma, 2 parasphenoide sinus cyst, 1 granulomatous vasculitis, 1 inflammatory pseudotumor, 1 fibroangioma and 1 fibrous dysplasia. Results The lesions were all removed. No recurrence happened during a 17-month follow- up on the average. There was no occurrence of cerebrospinal fluid rhinorrhea or meningitis in all patients. Five patients had obvious numbness in the maxillary nerve innervation area and 3 patients had mycteroxerosis after the operation, but these symptoms disappeared afterwards. Conclusion The management of benign space-occupying lesion of the middle skull base via the endoscopic pterygopalatine space approaches was reliable with minimal invasion and total removal of some benign lesions.

Key words: Endoscopic surgical procedures, operative, Skull base, Space-occupying lesion, Pterygopalatine space approaches

CLC Number: 

  • R765.9
[1] 张秋航, 杨大章, 韩军.内镜经鼻翼腭窝肿瘤切除术[J]. 中国微侵袭神经外科杂志, 2006,11(10):441-442. ZHANG Qiuhang, YANG Dazhang, HAN Jun. Establishment of concept on endoscopic nasal skull base surgery[J]. Chin J Minim Invas Neurosurg, 2006, 11(10):441-442.
[2] Taniguchi M, Kohmura E. Endoscopic transnasal transmax- illary transpterygoid approach to the parapharyngeal space: an anatomic study[J]. Minim Invasive Neurosurg, 2010, 53(5-6):255-60.
[3] 张秋航. 内镜经鼻颅底外科理念的建立[J]. 中国微侵袭神经外科杂志,2006,11(10):433-434. ZHANG Qiuhang. Establishment of concept on endoscopic nasal skull base surgery[J]. Chin J Minim Invas Neurosurg, 2006, 11(10):433-434.
[4] de Lara D, Ditzel Filho L F, Prevedello D M, et al. Endonasal endoscopic approaches to the paramedian skull base[J]. World Neurosurg, 2014, 82(6S):S121-129.
[5] 周兵,黄谦,崔顺九,等. 内镜下经鼻泪前隐窝入路切除翼腭窝及颞下窝神经鞘瘤[J]. 中华耳鼻咽喉头颈外科杂志, 2013,48(10):802-806. ZHOU Bin, HUANG Qian, CUI Shunjiu, et al. Removal of Schwannoma in the pterygopalatine and infratemperal fossa via endoscopic prelacrimal recess approach[J]. Chin J Otorhinolaryngol Head Neck Surg, 2013, 48(10):802-806.
[6] Ciporen J N, Moe K S, Ramanathan D, et al. Multiportal endoscopic approaches to the central skull base: a cadaveric study[J]. World Neurosurg, 2010, 73(6):705-712.
[7] Shin M, Kondo K, Saito N. Neuroendoscopic transnasal surgery for skull base tumors: basic approaches, avoidance of pitfalls, and recent innovations[J]. Neurol Med Chir (Tokyo), 2012, 52(10):697-703.
[8] 徐睿,张秋航,左可军,等. 经鼻内镜蝶窦进路岩尖胆脂瘤切除[J]. 中华耳鼻咽喉头颈外科杂志, 2012,47(1):30-33. XU Rui, ZHANG Qiuhang, ZUO Kejun, et al. Resection of petrous apex cholesteatoma via endoscopic trans-sphenoidal approach[J]. Chin J Otorhinolaryngol Head Neck Surg, 2012, 47(1):30-33.
[1] ZHANG Ruxiang, TIAN Hao, MA Youxiang. Computed tomography assessment of skull base height before endoscopic sinus surgery [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 75-77.
[2] . The endoscopic endonasal transpterygoid approach in lateral midline skull base. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(2): 16-24.
[3] . Application of imaging navigation technique in the endoscopic sinonasal and skull base surgery. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(2): 1-6.
[4] . The clinical application of image-guided endoscopic technique in the management of nasal sinus, skull base and orbital disease. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(2): 25-30.
[5] WU Jian, FAN Jingping, LIU Huanhai, LANG Juntian, LU Xiaoqing, XU Yaping. 3D technology for accurate treatment of transnasal endoscopic nasal skull base neoplasm resection and the functional reconstruction. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 24-28.
[6] ZHANG Bin, LI Feng, ZHANG Liangwen, YANG Yang, ZHU Shugan. Surgical strategies and techniques in the management of refractory cerebrospinal fluid otorrhea [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 17-21.
[7] JIN Yong-gang, LI Jian-rui, ZHANG Dong, WANG Yu, LIU Ning-ning, QIAN Hai-long. Adenoidectomy with low-temperature plasma stripping-pushing-ablation under nasal endoscopy for children with adenoidal hypertrophy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(2): 65-67.
[8] LI An, LI Na, JIANG Yan, YU Long-gang, LIU Hui, XU Tong, KONG Xiang-bin. Nasal endoscopic surgery for fibrous dysplasia involving rhino-orbito-skull base: a report of 4 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(2): 36-40.
[9] LIU Hong, LIU Tian-yue, WANG Chun-jiao, WANG Juan. Eustachian tube fracture of the right side in one case [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(5): 103-104.
[10] ZHANG Tao. Applied anatomy of the lateral skull base [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(3): 56-58.
[11] ZANG Yun-peng, LIU Ting-ting, SHANG Qing-jun, YU Qian-qian, JIANG Xiao-dan, LI Shen-ling, DANG Zhi-hong, HUANG Tian-qiao, ZHANG Nian-kai. Endoscopic reconstruction of skull base in animal experiments [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(1): 17-21.
[12] Mandulegeqi， LIU Yu-guang， ZHU Shu-gan， YANG Hong-an， YANG Yang. Digitalized skullbase surgery: an anatomical and medical imageology study [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(2): 60-63.
[13] GUO Jin-bao1， ZHANG Wei-tian2， ZHANG Yan1， QIAN Jun-yong1. Reconstruction of the cranial base following endoscopic endonasal skull base surgery:vascularized flaps [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(2): 87-90.
[14] WANG Yinfeng, SUN Jingwu, LV Qiuping, WAN Guanglun， GUO Tao. Application of an image guidance system  in complex endoscopicendo-nasal skull base surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2009, 23(6): 10-12.
[15] ZHANG Qingquan, SONG Xicheng, WANG Qiang, ZHANG Hua, SUN Yan. Application of image guidance system in anterior and middle skull base operations [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2009, 23(6): 4-6.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd