PDF(Pubmed)
Abstract：
UNASSIGNED: To review our single-institution experience in the surgical management of foramen magnum tumors via a far-lateral approach using an oblique straight incision.
UNASSIGNED: From October 2023 to January 2024, four cases of tumors in the foramen magnum area treated at the Capital Medical University-affiliated XuanWu hospital neurosurgery department were involved in this study. All cases were managed with a far-lateral approach using an oblique straight incision. We retrospectively reviewed the clinical and imaging data, as well as the surgical strategies employed.
UNASSIGNED: Three cases of foramen magnum meningiomas and one case of glioma of the ventral medulla. All cases underwent a far-lateral approach using an oblique straight incision; all cases had a gross total resection, and the wounds healed well without cerebral fluid leakage or scalp hydrops. Except for one case of right foramen magnum meningioma, which had dysphagia and pneumothorax, the other cases were without any postoperative complications.
UNASSIGNED: A far-lateral approach using an oblique straight incision can preserve muscle integrity and minimize subcutaneous exposure, allowing for complete anatomical reduction of muscles. This craniectomy method is simple and replicable, making it worthy of further clinical practice.
UNASSIGNED: From October 2023 to January 2024, four cases of tumors in the foramen magnum area treated at the Capital Medical University-affiliated XuanWu hospital neurosurgery department were involved in this study. All cases were managed with a far-lateral approach using an oblique straight incision. We retrospectively reviewed the clinical and imaging data, as well as the surgical strategies employed.
UNASSIGNED: Three cases of foramen magnum meningiomas and one case of glioma of the ventral medulla. All cases underwent a far-lateral approach using an oblique straight incision; all cases had a gross total resection, and the wounds healed well without cerebral fluid leakage or scalp hydrops. Except for one case of right foramen magnum meningioma, which had dysphagia and pneumothorax, the other cases were without any postoperative complications.
UNASSIGNED: A far-lateral approach using an oblique straight incision can preserve muscle integrity and minimize subcutaneous exposure, allowing for complete anatomical reduction of muscles. This craniectomy method is simple and replicable, making it worthy of further clinical practice.
摘要：
■回顾我们的单机构在使用斜直切口通过远外侧入路手术治疗大孔肿瘤方面的经验。
■从2023年10月至2024年1月，在首都医科大学附属宣武医院神经外科治疗的4例大孔区肿瘤病例参与了这项研究。所有病例均采用斜直切口的远外侧入路进行处理。我们回顾了临床和影像学资料，以及所采用的手术策略。
■大孔脑膜瘤3例，延髓腹侧胶质瘤1例。所有病例均采用斜直切口进行远外侧入路；所有病例均进行了全切除，伤口愈合良好，没有脑液渗漏或头皮积水。除了一例右侧大孔脑膜瘤,有吞咽困难和气胸，其余病例无术后并发症。
■使用斜直切口的远外侧入路可以保持肌肉完整性并最大程度地减少皮下暴露，允许完全解剖减少肌肉。这种开颅手术方法简单,可复制,值得进一步的临床实践。
■从2023年10月至2024年1月，在首都医科大学附属宣武医院神经外科治疗的4例大孔区肿瘤病例参与了这项研究。所有病例均采用斜直切口的远外侧入路进行处理。我们回顾了临床和影像学资料，以及所采用的手术策略。
■大孔脑膜瘤3例，延髓腹侧胶质瘤1例。所有病例均采用斜直切口进行远外侧入路；所有病例均进行了全切除，伤口愈合良好，没有脑液渗漏或头皮积水。除了一例右侧大孔脑膜瘤,有吞咽困难和气胸，其余病例无术后并发症。
■使用斜直切口的远外侧入路可以保持肌肉完整性并最大程度地减少皮下暴露，允许完全解剖减少肌肉。这种开颅手术方法简单,可复制,值得进一步的临床实践。
