Management of nasal skull-base neoplasms with endoscopic minimally invasive technique:a report of 36 cases
10.3321/j.issn:1673-0860.2008.12.010
- VernacularTitle:鼻内镜微创手术治疗鼻颅底肿瘤36例临床分析
- Author:
Yong-Xiang WEI
1
;
De-Min HAN
Author Information
1. 首都医科大学附属北京朝阳医院
- Keywords:
Skull-base neoplasms;
Endoscopy;
Minimally invasive technique
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2008;43(12):915-918
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the indication,efficacy and safety of endoscopic minimally invasive surgery technique in the management of nasal skull-base neoplasms.Methods Thirty-six patients with nasal skull base neoplasms were treated from January 2000 to Jun 2004 under nasal endoscopy,including 16 nasopharyngeal fibroangioma,8 sinus osteofibroma,8 pituitary adenoma,4 olfactory neuroblastoma.Pathology lab procedures were performed pre or post-operatively.The feeding artery of nasopharyngeal fibroangioma Was selectively embolized with gelatin sponge before operation.All olfactory neuroblastoma and 2 pituitary adenoma received radiotherapy after operation.Results Total or most of nasopharyngeal fibroangioma,sinus osteofibroma,olfactory neuroblastoma and pituitary adenoma were excised.Three cases presented complications of cerebrospinal fluid leakage,2 cases were successfully mended with middle turbinate and muscle tissue respectively,another one gained self-healing after reducing the intracranial pressure and anti-inflammation.Followed uP 4 to 8 years without recurrence for all patients.Seldom serious complications accured.Conclusions When the indications are selected appropriately.nasal skull-base neoplasms,including benign and malignant,can be well treated with nasal endoscopic minimally invasive surgery.
