Facial Translocation for Cranial Base Surgery.
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概要
- 論文の詳細を見る
The complexity of cranial base surgery is a reflection of skull base anatomy as well as technical demands for maximum visualization, control of essential structures, adequate tumor resection and/or reconstruction. Facial translocation has been developed as a new approach to cranial base. It consists of extensive modular facial disassembly which includes displacement of composite facial soft tissue flap and craniofacial skeleton. It creates surgical field with epicenter in nasopharynx and infratemporal fossa allowing easy expansion into sphenoid bone and cranial fossae as well as craniovertebral junction. Recon-struction is functional and esthetic. Versatility of this approach permits expansion into neighboring craniofacial regions. During a 14-month period (11/88-12/89), this facial translocation approach to cranial base was utilized in 20 patients. The approach provided excellent visualization of the involved cranial base permitting oncological as well as reconstructive procedures. All patients healed primarily. Two patients were reoperated on at 4 and 6 months postoperatively; one for a bone graft infection and the other for tumor recurrence. The facial translocation approach offers favorable exposure of the critical zones of cranial base resulting in increased surgical safety and benefit of cranial base surgery.
- The Keio Journal of Medicineの論文
著者
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Sekhar Laligam
Department Of Neurological Surgery The George Washington University Medical Center
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Nuss Daniel
Department of Neurological Surgery, University of Pittsburgh, School of Medicine
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Sen Chandra
Department of Otolaryngology, University of Pittsburgh, School of Medicine
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Sen Chandra
Department of Neurological Surgery, Center for Cranial Base Surgery, University of Pittsburgh School of Medicine
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Janecka Ivo
Department of Neurological Surgery, University of Pittsburgh, School of Medicine
関連論文
- 一側内頸動脈閉塞例における頭蓋底手術の際の予防的血行再建術の必要性
- Proposed Classification of Segments of the Internal Carotid Artery : Anatomical Study With Angiographical Interpretation
- Facial Translocation for Cranial Base Surgery.