Modified orbitozygomatic craniotomy for large medial sphenoid wing meningiomas

被引：8

作者：

Cheng, Cheng-Mao ^{[2
]}

Chang, Cheng-Fu ^{[2
]}

Ma, Hsin-I ^{[2
]}

Chiang, Yung-Hsiao ^{[3
]}

McMenomey, Sean O. ^{[1
]}

Delashaw, Johnny B., Jr. ^{[1
]}

机构：

[1] Oregon Hlth & Sci Univ, Dept Neurol Surg, Portland, OR 97239 USA

[2] Triserv Gen Hosp, Natl Def Med Ctr, Dept Neurol Surg, Taipei, Taiwan

[3] Taipei Med Univ Hosp, Dept Surg, Div Neurol Surg, Taipei, Taiwan

来源：

JOURNAL OF CLINICAL NEUROSCIENCE | 2009年 / 16卷 / 09期

关键词：

Craniotomy; Skull base; Sphenoid wing meningioma; INTERNAL CAROTID-ARTERY; TECHNICAL NOTE; ZYGOMATIC APPROACH; CAVERNOUS SINUS; FACIAL-NERVE; LESIONS; ANEURYSMS; BRANCHES; RIDGE;

D O I：

10.1016/j.jocn.2008.11.015

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Modified orbitozygomatic craniotomy (MOZC) is an anterior lateral skull base approach characterized by simplicity and wide exposure. The approach was first introduced in 2003 and there are few clinical reports. This report details treatment of patients with large (>4 cm) sphenoid wing meningiomas via a MOZC approach, and to the authors' knowledge, the first published in English. Total resection was achieved in all 5 patients in this study. One patient experienced a postoperative epidural hematoma that was successfully treated. All patients returned to daily activity without neurological sequellae. The advantages of MOZC are sparing of the zygomatic arch and removal of the orbital rim; hence, the surgeon can plan a capacious operative field without excessive brain retraction and resect the tumor before opening the dura. The MOZC approach is a clinically feasible, low morbidity, surgical option for paraclinoid lesions, such as large sphenoid wing meningiomas. (C) 2009 Elsevier Ltd. All rights reserved.

引用

页码：1157 / 1160

页数：4

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