|
ИСТИНА |
Войти в систему Регистрация |
ИПМех РАН |
||
Skull Base Tumors with Infratemporal Fossa and Temporomandibular Joint Involvementстатья Тезисы
Дата последнего поиска статьи во внешних источниках: 29 марта 2018 г.
- Авторы: Viacheslav Nazarov, Dmitry Spirin, Islam Muzishev, Vasiliy Cherekaev
- Журнал: Turkish Neurosurgery
- Том: 27
- Год издания: 2017
- Издательство: Turkish Neurosurgical Society
- Местоположение издательства: Turkey
- Первая страница: 16
- Последняя страница: 16
- Аннотация: Background: Temporomandibular joint involvement by the tumor is a rare condition in neurosurgical practice. In such cases middle cranial fossa tumors spread to the infratemporal fossa and reduce the mandible mobility. These patients suffer from facial pain and masticatory difficulties. A mouth opening difficulties become a problem for anesthesiologist. Fiber optic laryngoscopy assistance is essential for intubation in some cases. In several cases tracheostomy was performed when intubation was not possible. Method: We present 11 cases with temporomandibular joint involvement and intradural extension. Multidisciplinary team, formed by neurosurgeons, neurologists, anesthesiologists and otorhinolaryngologists was take part in surgical planning and treatment options discussion. Results: Craniomaxillofacial resection with skull base reconstruction was performed in all cases. Clinical variables, different treatment modalities, complications and outcomes are highlighted. In case of joint capsule involvement we noticed the ankyloses and movement block. In these cases condyle resection was made for masticatory improvement. In some cases we saw mandible fracture and pseudarthrosis formation as movement compensation. Mouth open ability was estimated before and after surgery. Auditory tube is usually involved in these cases. Different surgical techniques used for scull base reconstruction. Translocated pericranial flap and buccal fat pad were the best material for this purpose. In some cases a part of temporal muscle used for scull base closure. The most common complications were described: CSF leak, infection and neurological deterioration. Conclusion: Craniomaxillofacial surgery with condyle resection and meticulous scull base reconstruction is a feasible option for these patients.
- Добавил в систему: Назаров Вячеслав Вячеславович