目的:皮样囊肿(DCs)是先天性的,慢慢成长,并可能引起神经系统症状。相关文献有限,主要包括病例报告。我们报告了一系列源自中颅窝(MCFF)的DC,并调查了它们的人口统计信息,临床特征,影像学发现,外科手术,和预后结果。
方法:我们回顾了2012年至2022年在我们中心接受鼻内镜手术(EES)的MCFF引起的DC患者。
结果:共纳入5例DC患者(男2例,女3例),发病时平均年龄为46.2岁。所有DC均起源于MCFF,其中1例涉及中颅窝骨,另1例影响硬脑膜。1例(20.0%)患者有神经系统受累。入院后,所有患者均接受EES治疗,总切除率为100.0%(5/5).在中位随访73.2个月后,所有患者均实现了临床和放射学的完全改善.在长期随访中没有观察到手术相关的并发症或复发。
结论:鼻内镜手术被认为是治疗MCFF中DCs的一种安全有效的方法。需要更大的样本量和更长的随访时间。
OBJECTIVE: Dermoid cysts (DCs) are congenital, slowly growing, and may cause nervous system symptoms. Related literature is limited and mainly includes
case reports. We report a
case series of DCs originating from the middle cranial fossa floor (MCFF) and investigate their demographic information, clinical characteristics, imaging findings, surgical procedures, and prognostic outcomes.
METHODS: We reviewed the patients with DCs arising from the MCFF undergoing endoscopic endonasal surgery (EES) in our center between 2012 and 2022.
RESULTS: A total of 5 patients with DCs were enrolled (2 males and 3 females), with a mean age of 46.2 years at the onset. All DCs originated from the MCFF with 1
case involving the middle cranial fossa bone and another 1
case affecting the dura mater. One (20.0%) patient had neurological involvement. After admission, all patients received EES with a total resection rate of 100.0% (5 of 5). After a median follow-up of 73.2 months, all patients achieved complete clinical and radiological improvements. No surgical-related complications or relapses were observed during the long-term follow-up.
CONCLUSIONS: Endoscopic endonasal surgery is considered a safe and effective approach for the treatment of DCs in the MCFF. A larger sample size and longer follow-up time are needed.