You Position: Home > Paper

The exploration of microsurgical treatment of the sphenoid meningioma

( views:314, downloads:260 )
Author:
No author available
Journal Title:
CHINESE JOURNAL OF NEUROSURGERY
Issue:
9
DOI:
10.3321/j.issn:1001-2346.2008.09.005
Key Word:
脑膜瘤;蝶骨嵴;解剖学;显微外科手术;介入治疗;Meningioma;Sphenoid ridge;Anatomy;Microsurgery;Interventional therapy

Abstract: Objective To discuss the surgical skills of the sphenoid meningiomas.Method The anatomy,the blood supply of sphenoid region and the surgical skills were studied.35 cases with the sphenoid meningiomas who underwent mierosurgery were analyzed retmspoctively.Results (1)The pterional approach provides an optimal exposure to the anterior sellar region.The frontotemporal-zygomatic approach provides a favorable exposure to the middle fossa and parasellar region.The frontotemporal orbitozygomatic route provides a wide angle of exposure to the contents of the inferior frontal lobe,parasellar region,cavernous sinus,interpeduncular cisterns,and floor of the anterior and middle fossa.(2)There are 3 types of the blood supply of the sphenoid meningiomas:supply by the external carotid artery,supply by the external carotid anery and the internal carotid artery,and supply by the internal carotid artery.(3)The tumors were totally removed in 29 cases,and the others were subtotally removed,with 2 cases of death.Conclusions With extensive understanding of the neuroanatomy,progression of the interventional therapy and the surgical techniques,the sphenoid meningiomas can be radically and safely resected with less morbidity and mortality.

WanfangData CO.,Ltd All Rights Reserved
About WanfangData | Contact US
Healthcare Department, Fuxing Road NO.15, Haidian District Beijing, 100038 P.R.China
Tel:+86-010-58882616 Fax:+86-010-58882615 Email:yiyao@wanfangdata.com.cn