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

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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

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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
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