Clinical analysis of eight cases treated with lateral skull base surgery

Eight cases were treated by lateral skull base surgery. Three benign tumors (2: paraganglioma, 1: neurinoma) originated from parapharyngeal space and infiltrated into jugular foramen, and five malignant tumors (3: squamous cell carcinoma, 1: adenoid cystic carcinoma, 1: rhabdomyosarcoma) involved th...

Full description

Saved in:
Bibliographic Details
Published inNippon Jibi Inkoka Gakkai Kaiho Vol. 94; no. 11; p. 1683
Main Authors Takahashi, M, Kamito, T, Hatayama, N, Shinohara, H, Miyouga, H, Ogino, T, Unno, T
Format Journal Article
LanguageJapanese
Published Japan 01.11.1991
Subjects
Adult
Aged
Carcinoma, Adenoid Cystic - surgery
Carcinoma, Squamous Cell - surgery
Craniotomy - methods
Female
Fibrin Tissue Adhesive
Humans
Male
Middle Aged
Neck Dissection
Paraganglioma, Extra-Adrenal - surgery
Pharyngeal Neoplasms - surgery
Rhabdomyosarcoma - surgery
Skull Neoplasms - surgery
Surgical Flaps
Online AccessGet full text

Cover

More Information
Summary:Eight cases were treated by lateral skull base surgery. Three benign tumors (2: paraganglioma, 1: neurinoma) originated from parapharyngeal space and infiltrated into jugular foramen, and five malignant tumors (3: squamous cell carcinoma, 1: adenoid cystic carcinoma, 1: rhabdomyosarcoma) involved the skull base. Preoperative magnetic resonance imaging gives information as to whether tumors invaded to cranial bone or not, and also permits deciding surgical procedures. Surgical management of mandibular bone was performed in five cases for complete tumor resection and sufficient surgical view; hemimandibulectomy was carried out in four malignant cases, who simultaneously underwent radical neck dissection, and one benign case underwent mandiblotomy. Ligation of sigmoid sinus was carried out in four cases (1; benign, 3; malignant) to control bleeding from large vessels. The skull base was reconstructed with myocutaneous flaps which were fixed by fibrin tissue adhesive. No significant surgical complications were not noted. There were no recurrence of benign tumor during 8-13 years follow up period. Malignant tumors, except one (rhabdomyosarcoma), had no local recurrence during follow up period (4 months-2 years). We emphasize that the progress in preoperative assessment, as well as in reconstructive surgical techniques, will assure more adequate indication of lateral skull surgery for malignant tumors.
ISSN:0030-6622