文章：

鼻窦恶性肿瘤切除术后按解剖亚区进行颅底重建

Skull Base Reconstruction by Subsite after Sinonasal Malignancy Resection

原文发布日期：5 January 2024

DOI: 10.3390/cancers16020242

类型: Article

开放获取: 是

英文摘要：

Reconstruction after the resection of sinonasal malignancies is complex and primarily dependent on the defect size and location. While the reconstructive paradigm for sellar mass resection is well delineated, the challenges associated with reconstruction after sinonasal malignancy resection are less well described. This narrative review will address the goals of reconstruction after both endonasal endoscopic and open sinonasal malignancy resection and reconstructive options specific to these subsites. The goals of reconstruction include repairing cerebrospinal fluid leaks, restoring sinonasal function, providing a nasal airway, and optimizing the patient’s quality of life. These goals are often complicated by the anatomic nuances of each involved sinus. In this review, we will discuss the methods of reconstruction specific to each sinonasal subsite and describe the factors that guide choosing the optimal reconstructive technique.

摘要翻译： 

鼻窦恶性肿瘤切除后的重建过程复杂，主要取决于缺损的大小和位置。尽管鞍区肿块切除后的重建模式已有明确描述，但鼻窦恶性肿瘤切除后重建所面临的挑战却较少被详细探讨。本文综述将探讨经鼻内镜及开放式鼻窦恶性肿瘤切除后的重建目标，以及针对这些特定部位的重建方案。重建目标包括修复脑脊液漏、恢复鼻窦功能、提供鼻腔通气通道，并优化患者的生活质量。这些目标常因各受累鼻窦的解剖细微差异而变得复杂。在本综述中，我们将讨论针对各鼻窦亚部位的重建方法，并阐述指导选择最佳重建技术的相关因素。

原文链接：

Skull Base Reconstruction by Subsite after Sinonasal Malignancy Resection