I?nfratemporal Fossa Tümörlerine Cerrahi Yaklaşımlarımız
Küçük Resim Yok
Tarih
2002
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: İnfratemporal fossa tümörlerine cerrahi yaklaşımlarımızı değerlendirmek ve deneyimlerimizi sunmak. Hastalar ve Yöntemler: İnfratemporal fossa tümörlü 31 olgu (10 kadın, 21 erkek; ört. yaş 34.6; dağılım 3-78) değerlendirildi. Tümörlerin 21'i benign, 10'u malign idi. Olgular ameliyattan önce bilgisayarlı tomografi, manyetik rezonans görüntüleme ve anjiyografi ile değerlendirildi. Preauriküler İnfratemporal yaklaşım, LeFort l osteotomisi, stilohamuler diseksiyon, translokasyon gibi yedi farklı cerrahi yaklaşım uygulandı. Bazı olgular birkaç teknik birleştirilerek ameliyat edildi. Takip süresi bir ile dokuz yıl arasında değişmekte idi. Bulgular: Komplikasyon olarak beş olguda fasyal deformite, üç olguda skar, bir olguda keratit ve bir olguda kanama görüldü. Cerrahi sonuçlarımız bening tümörlerde başarılı iken, malign tümörlerde %50 nüks oranı ve olgu sayımızın sınırlı olması nedeniyle tartışılabilir bulundu. Sonuç: Tek taraflı benign tümörlerinde preauriküler yaklaşımın; iki taraflı olgularda ve nazal fossa ön kafa tabanına uzanan lezyonlarda LeFort l osteotomisinin; malign tümörlü olgularda ise stilohamuler diseksiyonun uygun olduğu sonucuna varıldı.
Objectives: To evaluate our surgical approaches to Infratemporal fossa tumors and present our experience thereof. Patients and Methods: Thirty-one patients (10 females, 21 males; mean age 34.6 years; range 3 to 78 years) underwent surgery for İnfratemporal fossa tumors, of which 21 were benign and 10 were malignant. Preoperatively, patients were evaluated by computed tomography, magnetic resonance imaging, and angiography. A total of seven surgical approaches were employed, including the preauricular İnfratemporal approach, LeFort l osteotomy, stylohamular dissection, and translocation in some cases a combination of one or more approaches were used. The follow-up period varied betvveen one to nine years. Results: Complications included facial deformation (n5), scar formation (n3), keratitis (n1), and bleeding (n1). Our surgical results were successful with benign tumors; however, with 50% recurrence rate and small patient size, surgical results were open to discussion. Conclusion: The preauricular İnfratemporal approach, LeFort l osteotomy, and stylohamular dissection seem to be the most appropriate approaches for unilateral benign tumors, bilateral tumors and those extending to the nasal cavity and anterior skull base, and malignant tumors, respectively.
Objectives: To evaluate our surgical approaches to Infratemporal fossa tumors and present our experience thereof. Patients and Methods: Thirty-one patients (10 females, 21 males; mean age 34.6 years; range 3 to 78 years) underwent surgery for İnfratemporal fossa tumors, of which 21 were benign and 10 were malignant. Preoperatively, patients were evaluated by computed tomography, magnetic resonance imaging, and angiography. A total of seven surgical approaches were employed, including the preauricular İnfratemporal approach, LeFort l osteotomy, stylohamular dissection, and translocation in some cases a combination of one or more approaches were used. The follow-up period varied betvveen one to nine years. Results: Complications included facial deformation (n5), scar formation (n3), keratitis (n1), and bleeding (n1). Our surgical results were successful with benign tumors; however, with 50% recurrence rate and small patient size, surgical results were open to discussion. Conclusion: The preauricular İnfratemporal approach, LeFort l osteotomy, and stylohamular dissection seem to be the most appropriate approaches for unilateral benign tumors, bilateral tumors and those extending to the nasal cavity and anterior skull base, and malignant tumors, respectively.
Açıklama
Anahtar Kelimeler
Kulak, Burun, Boğaz
Kaynak
Kulak Burun Boğaz Klinikleri
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
1
Künye
Ülkü, Ç. H., Uyar, Y., Arbağ, H., Öztürk, K., (2002). İnfratemporal Fossa Tümörlerine Cerrahi Yaklaşımlarımız. Kulak Burun Boğaz Klinikleri, 4(1), 30-37.
