蝶骨脊入路(SRA)最初被描述为一种治疗Sylvian裂附近血管病变的手术技术。然而,有限的研究系统地探讨了颅底技术在儿科患者中的应用。这项研究调查了蝶骨脊入路(E-SRA)的扩展变化,系统地删除了翼点,轨道墙(屋顶和侧壁),蝶骨大翼,和前斜突进入颅底。
目的:本报告旨在评估眶顶硬膜外去除的优势,蝶翼,蝶骨翼,和前斜骨突作为小儿患者蝶骨脊入路的补充。
方法:我们在不同地区招募了36例疑似肿瘤疾病患者。进行E-SRA治疗患者。基于活检或全切除的先验目标包括患者。完成入路所需的手术时间,相关出血,并记录了任何并发症。
结果:我们的结果表明,提出的先验手术目标,活检,或在所有病例中均成功切除。此外,使用E-SRA技术与较短的手术时间相关,出血最少,和较低的并发症发生率。最常见的并发症与硬脑膜闭合有关。
结论:扩大蝶骨脊入路是治疗儿科颅内肿瘤的一种安全有效的选择。
The sphenoid ridge approach (SRA) was initially described as a surgical technique for treating vascular pathologies near the Sylvian fissure. However, limited studies have systematically explored the use of skull base techniques in pediatric patients. This study investigated an extended variation in the sphenoid ridge approach (E-SRA), which systematically removed the pterion, orbital walls (roof and lateral wall), greater sphenoid wing, and anterior clinoid process to access the base of the skull.
This report aimed to evaluate the advantages of the extradural removal of the orbital roof, pterion, sphenoid wing, and anterior clinoid process as a complement to the sphenoid ridge approach in pediatric patients.
We enrolled 36 patients with suspected neoplastic diseases in different regions. The E-SRA was performed to treat the patients. Patients were included based on the a priori objective of a biopsy or a total gross resection. The surgical time required to complete the approach, associated bleeding, and any complications were documented.
Our results demonstrated that the proposed a priori surgical goal, biopsy, or resection were successfully achieved in all cases. In addition, using the E-SRA technique was associated with a shorter operative time, minimal bleeding, and a lower incidence of complications. The most frequently encountered complications were related to dural closure.
The extended sphenoid ridge approach represents a safe and effective option for managing intracranial tumors in pediatrics.