鼓室旁神经管瘤水下内窥镜和显微镜联合手术:病例报告。

IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Science Progress Pub Date : 2024-07-01 DOI:10.1177/00368504241263524
Yusuke Takata, Takashi Anzai, Kenji Sonoda, Hiroko Okada, Erina Ishimizu, Masahiro Nakamura, Satoshi Hara, Takumi Nakayama, Fumihiko Matsumoto
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引用次数: 0

摘要

鉴于中耳副神经节瘤的血管性质和鼓室的狭小容积,切除中耳副神经节瘤具有挑战性,尤其是当下鼓室的肿瘤靠近或附着于颈内动脉(ICA)时。根据改良的 Fisch 分类法,我们对 B1 级中耳副神经节瘤进行了水下内窥镜和显微镜联合手术。我们在水下内窥镜下钻取了下鼓室和隐窝 ICA 周围的可疑骨头。在显微镜下抽吸并烧灼了供血动脉、鼓室动脉和下鼓室动脉。据我们所知,还没有用水下内窥镜治疗中耳副神经节瘤的病例报道。水下内窥镜可提供清晰的手术视野,并可进行血液和骨粉灌洗,是中耳副神经节瘤的良好适应症。相比之下,显微镜下的准备工作对意外出血非常重要,尤其是当肿瘤紧贴重要结构时,如 ICA 或颈静脉球。
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Combined underwater endoscopic and microscopic surgery for tympanic paraganglioma: A case report.

The resection of middle ear paragangliomas can be challenging given their vascular nature and the small volume of the tympanic cavity, particularly when the tumor in the hypotympanum is close or attached to the internal carotid artery (ICA). We performed combined underwater endoscopic and microscopic surgery for a Class B1 middle ear paraganglioma according to the modified Fisch classification. The suspicious bone in the hypotympanum and around the petrous ICA was drilled with underwater endoscopy. The feeding arteries, the caroticotympanic and inferior tympanic arteries, were suctioned and cauterized under microscopy. To the best of our knowledge, no case of middle ear paraganglioma treated with underwater endoscopy has been reported. Underwater endoscopy, providing a clear operative field with blood and bone dust irrigation, is a good indication for middle ear paragangliomas. In contrast, microscopic preparation for unexpected bleeding is important, particularly when the tumor closely extends to vital structures, such as the ICA or the jugular bulb.

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来源期刊
Science Progress
Science Progress Multidisciplinary-Multidisciplinary
CiteScore
3.80
自引率
0.00%
发文量
119
期刊介绍: Science Progress has for over 100 years been a highly regarded review publication in science, technology and medicine. Its objective is to excite the readers'' interest in areas with which they may not be fully familiar but which could facilitate their interest, or even activity, in a cognate field.
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