Effect analysis on endoscopic transnasal resection of epidural cholesteatoma at paracentral skull base.
10.3760/cmj.j.cn115330-20210303-00099
- Author:
Jing Chuan HE
1
;
Yue MA
2
;
Zhen Hua HUANG
2
;
Xiang ZHAI
1
;
Huan Xin YU
1
;
Jin Ling ZHANG
1
;
Qiang ZHANG
1
;
Gang LIU
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, Tianjin Huanhu Hospital, Tianjin 300350, China.
2. Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin 300350, China.
- Publication Type:Journal Article
- MeSH:
Adult;
Cholesteatoma;
Endoscopy;
Female;
Humans;
Male;
Middle Aged;
Neoplasm Recurrence, Local;
Retrospective Studies;
Skull Base/surgery*
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2021;56(9):951-955
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To indicate the clinical features of endoscopic transnasal resection of epidural cholesteatoma at paracentral skull base and to analyze its efficacy. Methods: The total excision rate, postoperative complications and postoperative curative effect of 7 patients (4 males and 3 females, aging from 32 to 63 years old) who underwent middle skull base surgery for epidural cholesteatoma resection under transnasal endoscope at Tianjin Huanhu Hospital between August 2017 and August 2020 were retrospectively reviewed. All patients were followed up for 6 to 36 months. The postoperative MRI, clinical symptoms and recurrence were reviewed. Descriptive statistical methods were used for analysis. Results: Among the 7 patients, there were total resection (complete resection of cyst contents and capsule) in 4 patients, near-total resection (complete resection of cyst contents, incomplete resection of cyst capsule) in 1 patient, and subtotal resection (incomplete resection of cyst contents and capsule) in 2 patients. The clinical symptoms of all patients were improved postoperatively with 1 patient who had no clinical symptoms. One case had postoperative cerebrospinal fluid rhinorrhea, which was cured after lumbar drainage and nasal iodoform gauge packing. Up to now, 7 patients (including patients with partial resection) had no recurrence. Conclusion: Endoscopic transnasal approaches may be effectively used for resection of epidural cholesteatoma in the paracentral skull base in carefully selected cases.
