穿越突方法后的放射性发现:临床和病理生理学的考虑
Matteo Alicandri-Ciufelli1, Edoardo Serafini, Maria Rosini1
1Department of Otolaryngology Head and Neck Surgery, University Hospital of Modena, Modena, Italy.
概括
对于前体瘤切除的横向突切除方法是安全有效的. 通过耳腔消灭保存状气细胞,没有增加并发症的风险.
科学领域:
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头骨底部手术 头骨底部手术
背景情况:
- 穿越突的方法需要切除手术腔和尤斯塔基管.
- 在这些程序中,体气细胞通常在没有被消灭的情况下被保存.
研究的目的:
- 评估耳腔消灭的临床和放射性影响.
- 评估当体气细胞系统被保存时的结果.
主要方法:
- 对31名患有单侧前庭神经瘤的成年患者进行了回顾性观察研究.
- 排他性内透管跨promontorial方法 (endoTTA) 和扩展的跨通道跨promontorial方法 (expTTA) 的比较.
- 术后放射性乳腺和外科腔内含量的评估,以及临床结果.
主要成果:
- 平均放射性随访时间为54个月.
- 在42%的患者中,术后的乳头腔空气存在;手术腔空气在45%和流体在26%中.
- EndoTTA与手术后的乳腺大气显著相关 (p=0.013);放射性模式和并发症之间没有发现关联.
结论:
- 无论是endoTTA还是expTTA都是安全有效的,用于前庭神经瘤切除.
- 通过 tympanic 腔 obliteration 保存乳头气细胞不会增加脑膜炎或脑脊液泄漏的风险.
- 消灭组织的再吸收不会增加并发症风险.
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