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Combined Transcranial and endoscopic endonasal approach for Resecting a Giant Intracranial and Extracranial Communicating Meningioma:A Case Report

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Clinical Cancer Bulletin 2022年第3期1卷 167-171页

作者： Ye GU Kai XUE Quan LIU Huankang ZHANG Hongmeng YU Department of Neurosurgery Eye&ENT HospitalFudan UniversityShanghaiChina Department of Otolaryngology Eye&ENT HospitalFudan UniversityShanghaiChina Shanghai Key Laboratory of Medical Imaging Computing and Computer Assisted Intervention Fudan UniversityShanghaiChina Research Units of New Technologies of endoscopic Surgery in Skull Base Tumor Chinese Academy of Medical SciencesShanghaiChina

Objective Although intracranial and extracranial communicating meningiomas are uncommon in clinical settings,they pose a considerable challenge for ***,one-stage surgery should be more comprehensively explained as it is not frequently reported as a first-line *** report A 27-year-old man with a massive intracranial and extracranial communicating meningioma was admitted with nasal congestion and mild numbness on the left side of his face.A combined transcranial and endoscopic endonasal approach was performed in a single day aided by preoperative tumor *** tumor was nearly completely removed without any serious ***-up revealed the disappearance of diplopia,with the patient having a normal ***,no tumor progression was *** The combined transcranial and endoscopic endonasal approach is feasible for removing certain massive intracranial and extracranial communicating *** techniques,such as embolization,microscopic,and endoscopic manipulation,are indispensable tools for treating such cases.

关键词： meningioma transcranial approach endoscopic endonasal approach

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Surgical approaches to the petrous apex

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2020年第2期6卷 106-114页

作者： Kevin L.Li Vijay Agarwal Howard S.Moskowitz Waleed M.Abuzeid Department of Otorhinolaryngology e Head and Neck Surgery Albert Einstein College of MedicineBronxNYUSA Department of Neurosurgery Albert Einstein College of MedicineBronxNYUSA

The petrous apex is a difficult to reach surgical area due to its deep position in the skull base and many vital surrounding *** apex pathology ranges from extradural cholesterol granulomas,cholesteatomas,asymmetric pneumatization,and osteomyelitis to intradural meningiomas and *** lesions,such as cholesterol granulomas,can be managed with drainage while neoplastic lesions must be completely *** options use open,endoscopic,and combined techniques and are categorized into anterior,lateral,and posterior *** choice of approach is determined by the nature of the pathology and location relative to vital structures and extension into surrounding structures and requires thorough preoperative evaluation and discussion of surgical goals with the *** purpose of this state-of-the-art review is to discuss the most commonly used surgical approaches to the petrous apex,and the anatomy on which these approaches are based.

关键词： Petrous apex Anterior approaches endoscopic endonasal approach Lateral approaches Surgical approaches

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