두개저 종양에 대한 확대 경기저 개두술
Extensive Transbasal Approach to Skull Base Tumor
고용복, 이석형, 강종후,
소속 상세정보
고용복 ( )
가톨릭대학교
이석형 ( )
가톨릭대학교
강종후 ( )
가톨릭대학교
KMID : 0359819930220040512
Abstract
The extensive transbasal approach by Kawakami is a modification of the transbasal approach of Derome. This approach. An en bloc bilateral osteotomy of the orbital roofs and frontal sinus following an ordinary bifrontal craniotomy improves the
exposure
of midline lesions of the anterior and middle skull base, while mimimizing the need for frontal lobe retraction.
The authors present 5 cases operated on via this approach. The tumor diagnosis of 5 cases was 3 cases of tuberculum sellae meningioma. 1 case of astrocytoma and 1 case of craniopharyngioma. In two patients (cases with localized lesions in the
midline).
The extensive transbasal approach was used alone, in the remaining three (cases with far lateral extension to the temporal base), it was combined with other skull base approachs. Our experience in 5 cases and the advantage of this approach are
described.
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