数字化导航辅助下切除翼腭窝神经鞘瘤1例病例报道

doi:10.3969/j.issn.1005-4979.2020.05.015

《口腔颌面外科杂志》 ›› 2020, Vol. 30 ›› Issue (5): 337-339. doi: 10.3969/j.issn.1005-4979.2020.05.015

• 病例报告 • 上一篇

数字化导航辅助下切除翼腭窝神经鞘瘤1例病例报道

单宇博(), 庞湃, 杨鸣良, 孙长伏()

中国医科大学附属口腔医院口腔颌面外科，辽宁省口腔病重点实验室，辽宁沈阳 110002

收稿日期:2020-01-13 修回日期:2020-08-10 出版日期:2020-10-28 发布日期:2020-10-27
通讯作者: 孙长伏，教授. E-mail: changfusun@hotmail.com
作者简介:
单宇博（1992—），女，吉林辽源人，住院医师，硕士. E-mail: shanyubo1992@163.com

Digital Navigation Assisted Surgical Removal of Schwannoma in the Pterygopalatine Fossa: A Case Report

SHAN Yubo(), PANG Pai, YANG Mingliang, SUN Changfu()

Department of Oral and Maxillofacial Surgery, Stomatology Hospital, China Medical University, Liaoning Provincial Key Laboratory of Oral Disease, Shenyang 110002, Liaoning Province, China

Received:2020-01-13 Revised:2020-08-10 Online:2020-10-28 Published:2020-10-27

摘要/Abstract

摘要：

翼腭窝（pterygopalatine fossa, PPF）区域解剖结构复杂，位置隐蔽且深在，该区域的肿瘤早期不易被发现，报道相对较少。本文报告1例我院收治的翼腭窝三叉神经鞘瘤的病例，并对该部位手术入路进行回顾。

关键词: 数字化导航, 翼腭窝, 神经鞘瘤, 手术入路

Abstract:

The pterygopalatine fossa(PPF) area has complex anatomy. With its concealed and deep location, the tumor located in PPF is not easy to find at the onset stage. So far there are relatively few reports. This article reports a case of PPF trigeminal schwannoma managed in our hospital, and reviews the surgical approach to this site.

Key words: digital navigation, pterygopalatine fossa (PPF), schwannoma, surgical approach

单宇博, 庞湃, 杨鸣良, 孙长伏. 数字化导航辅助下切除翼腭窝神经鞘瘤1例病例报道[J]. 《口腔颌面外科杂志》, 2020, 30(5): 337-339.

SHAN Yubo, PANG Pai, YANG Mingliang, SUN Changfu. Digital Navigation Assisted Surgical Removal of Schwannoma in the Pterygopalatine Fossa: A Case Report[J]. 《Journal of Oral and Maxillofacial Surgery》, 2020, 30(5): 337-339.

https://journal06.magtech.org.cn/Jweb_joms/CN/Y2020/V30/I5/337

图/表 4

图1 术前CT、MRI及CTA检查注：A. 术前CT图像；B. 术前MRI增强图像；C. 术前CTA冠状位图像；D.术前CTA矢状位图像。

Figure 1 Preoperative CT, MRI, and CTA examinations

图2 利用计算机导航技术对肿瘤进行术中实时定位注：A. 眶外侧壁；B. 眶内侧壁；C. 下颌骨升支前缘。

Figure 2 Navigation and positioning, using computer navigation technology

图3 手术入路采用右侧头皮冠状切口，对患者颧弓进行临时离断暴露PPF 注：A. 手术入路为头皮半冠状切口；B. 术中临时离断颧弓。

Figure 3 A coronary incision was made in the right scalp, and temporary section of the zygomatic arch for approach to the PPF

图4 术后6个月增强CT示神经鞘瘤无复发迹象

Figure 4 Enhanced CT image showed no sign of recurrence of schwannoma 6 months after surgery

参考文献 9

[1]	Jeong SK, Lee EJ, Hue YH, et al. A suggestion of modified classification of trigeminal schwannomas according to location, shape, and extension[J]. Brain Tumor Res Treat, 2014, 2(2): 62-68. doi: 10.14791/btrt.2014.2.2.62 pmid: 25408927
[2]	Niranjan A, Barnett S, Anand V, et al. Multimodality management of trigeminal schwannomas[J]. J Neurol Surg B Skull Base, 2016, 77(4): 371-378. doi: 10.1055/s-00000181 URL
[3]	Plzák J, Kratochvil V, Ke? ner A, et al. Endoscopic endonasal approach for mass resection of the pterygopalatine Fossa[J]. Clinics (Sao Paulo), 2017, 72(9): 554-561. doi: S1807-59322017000900554 pmid: 29069259
[4]	Bao SD, Ni SL, Zhang JY, et al. Treatment of lesions involving both the infratemporal fossa and middle skull base[J]. Surg Neurol, 2006, 66(Suppl 1): S10-S17. doi: 10.1016/j.surneu.2006.06.014 URL
	Bao SD, Ni SL, Zhang JY, et al. Treatment of lesions involving both the infratemporal fossa and middle skull base[J]. Surg Neurol, 2006, 66(Suppl 1): S10-S17; doi: 10.1016/j.surneu.2006.06.014 URL

[5]	Woo HJ, Hwang PH, Kaplan MJ, et al. Clinical characteristics and prognostic factors of malignant tumors involving pterygopalatine Fossa[J]. Head Neck, 2020, 42(2): 281-288. doi: 10.1002/hed.v42.2 URL
[6]	Liu TC, Sun Y, Li JX, et al. Navigation-assisted treatment of giant cysts in the pterygopalatine fossa with endoscopy method[J]. J Craniofac Surg, 2020, 31(2): e137-e139. doi: 10.1097/SCS.0000000000006073 URL
[7]	Gökmen MF, Beton S, Meco C. Endonasal endoscopic management of pterigopalatine Fossa hydatid cyst[J]. J Craniofac Surg, 2019, 30(8): e757-e760. doi: 10.1097/SCS.0000000000005758
[8]	杨中坚, 王伟民, 朱诚, 等. 颅底沟通瘤切除术[J]. 中华耳鼻咽喉科杂志, 1996, 31(5): 16-18.
[9]	程华怡, 吴逸群. 颞颧入路治疗翼腭窝三叉神经鞘瘤[J]. 中华神经外科疾病研究杂志, 2016, 15(1): 81-82.

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