Clinical analysis of surgical incisions for tumors involving lateral skull base

Abstract

Abstract: PURPOSE: To investigate the surgical procedures and treatment effects for complete and safe resection of tumors involving lateral skull base. METHODS: Twenty-one patients with tumors involving lateral skull base were treated in our department from August 2008 to August 2015. Eight cases were diagnosed as malignant tumors by pathological examinations. Five cases underwent surgery through scalp hemicoronal-anterior auricular incision, eight cases underwent operation through modified Ferguson-Weber incision, seven cases underwent operation through anterior auricular-inframandibular incision, and combined incision was used in 1 patient. RESULTS: Only 1 patient with recurrent fibrosarcoma of the maxillary sinus underwent palliative resection and 20 patients underwent radical resection. No deaths and serious complications were found during perioperative period. In 8 patients with malignant tumors, five received postoperative radiotherapy and 3 underwent postoperative chemotherapy. 3-year survival rate of patients with malignant tumors was 50% (4/8). CONCLUSIONS: Appropriate operation access should be adopted based on anatomical structures. Scalp hemicoronal-anterior auricular, modified Ferguson-Weber, anterior auricular-inframandibular and combined incisions are more commonly used surgical approaches, but with different indications.

Key words: Tumor, Lateral skull base, Surgical incision

CLC Number:

R739.8

KONG Jie, YANG Hong-yu, WANG Yu-fan, YANG Hui-jun, SHEN Shi-yue, WANG Feng. Clinical analysis of surgical incisions for tumors involving lateral skull base[J]. China Journal of Oral and Maxillofacial Surgery, 2016, 14(4): 357-360.

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