关键词: endoscopic transnasal surgery extracapsular dissection extracranial trigeminal schwannoma narrow-band imaging pterygopalatine fossa

来  源:   DOI:10.7759/cureus.58200   PDF(Pubmed)

Abstract:
The pterygopalatine fossa and infratemporal fossa are often approached through an external incision because of their deep facial location, but this can present problems such as facial scarring and deformity. In schwannoma surgery, intraneural dissection is a useful surgical technique for achieving gross total resection while preserving the capsule, including the nerves. For appropriate enucleation and preservation of the functional nerve, it is indispensable to distinguish between the pseudocapsule and the tumor capsule. This case report presents a case of endonasal surgical intervention for an extracranial trigeminal schwannoma employing the tri-port approach and narrow-band imaging.
摘要:
翼腭窝和颞下窝通常通过外部切口接近,因为它们的面部位置很深,但这可能会出现面部疤痕和畸形等问题。在神经鞘瘤手术中,神经内解剖是一种有用的手术技术,可以在保留包膜的同时实现总体全切除,包括神经。为了适当地摘除和保留功能性神经,区分假胶囊和肿瘤胶囊是必不可少的。此病例报告介绍了一例采用三端口入路和窄带成像技术对颅外三叉神经鞘瘤进行鼻内手术干预的病例。
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