PDF(Pubmed)
Abstract：
Endoscopic and open microsurgical approaches for pediatric patients are useful for a wide variety of skull base pathologies. A hybrid, cranioendoscopic approach may be beneficial in improving surgical resection for complex lesions. A case of a 13-year-old boy with a large juvenile nasopharyngeal angiofibroma extending through the nasopharynx and pterygopalatine fossa into the maxillary, sphenoid, and cavernous sinuses is demonstrated via an endoscopic, transnasal and frontotemporal, extended middle cranial fossa microsurgical approach. Management of a large pediatric tumor via narrow nasal passages, safe surgical resection around critical neurovascular structures, and complication avoidance is demonstrated. The video can be found here: https://youtu.be/1WqvsOnQCxs.
摘要：
用于儿科患者的内窥镜和开放式显微外科手术方法可用于各种颅底病变。混合动力车，头颅内窥镜入路可能有助于改善复杂病变的手术切除。一例13岁男孩，患有大型青少年鼻咽血管纤维瘤，通过鼻咽和翼腭窝延伸到上颌骨，蝶骨,海绵窦通过内窥镜显示，经鼻和额颞叶，扩展中颅窝显微手术入路。通过狭窄的鼻通道管理一个大的儿科肿瘤，在关键的神经血管结构周围进行安全的手术切除，并证明了并发症的避免。该视频可以在这里找到：https://youtu。是/1WqvsOnQCxs。
