Microsurgical management of skull base reconstruction after resection of meningioma communicating the orbit and middle cranial fossa
LI Zhongming1,DU Changsheng1,SONG Wei2,WANG Shejun1,WANG Jianzhen1,QIN Zhizhen1,FENG Yaohui1
1.Department of Neurosurgery, General Hospital of Chinese People’s Armed Police Forces,Beijing 100039,China; 2.First Department of Oncology, General Hospital of Chinese People’s Armed Police Forces,Beijing 100039,China
Abstract:Objective To investigate the strategy of skull base reconstruction after resection of meningioma communicating the orbit and middle cranial fossa. Methods A retrospective review was carried out of the clinical data of 72 patients who underwent microsurgical operations by orbito-peronal approach for cranio-orbital communicating skull base meningioma in this department between Jan 2007 and May 2012. Then the method of skull base reconstruction after tumor resction was discussed. Result In this series, skull base reconstruction including dural repair and cranioplasty resulted in satisfactory outcome. The complication such as cerebrospinal fluid leakage, meningocele, meningitis etc. did not occur . Subcutaneous hydrops came out in 12 cases. Conclusions Microsurgical resection by orbito-peronal approach is a favorable treatment for this kind of cranio-orbital tumors. Skull base reconstruction is one of the key to the successful surgery.
李钟铭,杜长生,宋薇,王社军,王建祯,秦至臻,封耀辉. 眼眶-中颅窝沟通性脑膜瘤手术颅底重建[J]. , 2014, 25(5): 503-506.
LI Zhongming,DU Changsheng,SONG Wei,WANG Shejun,WANG Jianzhen,QIN Zhizhen,FENG Yaohui. Microsurgical management of skull base reconstruction after resection of meningioma communicating the orbit and middle cranial fossa. , 2014, 25(5): 503-506.