Management of nasal skull-base neoplasms with endoscopic minimally invasive technique: a report of 36 cases / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
; (12): 915-918, 2008.
Article
em Zh
| WPRIM
| ID: wpr-339278
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To discuss the indication, efficacy and safety of endoscopic minimally invasive surgery technique in the management of nasal skull-base neoplasms.</p><p><b>METHODS</b>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.</p><p><b>RESULTS</b>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 accrued.</p><p><b>CONCLUSIONS</b>When the indications are selected appropriately, nasal skull-base neoplasms, including benign and malignant, can be well treated with nasal endoscopic minimally invasive surgery.</p>
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Nervo Olfatório
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Patologia
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Neoplasias Hipofisárias
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Cirurgia Geral
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Nariz
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Neoplasias Nasofaríngeas
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Fibroma Ossificante
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Procedimentos Cirúrgicos Minimamente Invasivos
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Neoplasias da Base do Crânio
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Endoscopia
Limite:
Adolescent
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Adult
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Aged
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Child
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Female
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Humans
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Male
Idioma:
Zh
Revista:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Ano de publicação:
2008
Tipo de documento:
Article