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
[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.
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