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- 저자 : 정성삼 ( Sung Sam Jeong ) (검색결과 1 건)
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임상 : 전방 두개저부 병변에 대한 두개 안면 접근법; 합병증
김근식 ( Geun Sik Kim ),김승민 ( Seong Min Kim ),정승영 ( Seung Young Chung ),정성삼 ( Sung Sam Jeong ),박문선 ( Moon Sun Park ),하호균 ( Ho Gyun Ha ),김한규 ( Han Kyu Kim ) 대한뇌종양학회 2005 대한뇌종양학회지 Vol.4 No.2
Objective￡ºThe purpose of this study is to describe the commom complications of craniofacial approaches to lesion on anterior skull base and some technical refinements to prevent the complications. Methods￡ºAuthors reviewed medical records and radiological findings of 21 operations(including 2 reoperations) of 19 patients having anterior skull base tumors treated by craniofacial approaches from 1998 to 2004 . Results￡ºTwenty-one operations showed several complications. Those were cerebrospinal fluid leakage(3), meningitis(1), anosmia(3), epidural hematoma(1), pneumocephalus(1). Cerebrospinal fluid leakage was treated by lumbar drainage. Meningitis was treated by lumbar drainage and appropriate antibiotics. Epidural hematoma and pneumocephalus were resolved spontaneously. The complication of transfrontal and transnasomaxillary approach was none. The complications of transfrontal nasal approach were anosmia(1) and epidural hematoma(1). Cerebrospinal fluid leakage(3), meningitis(1), anosmia(2), and pneumocephalus(1) arose in the transfrontal nasal-orbital approach. Conclusion￡ºMotality and morbidity of craniofacial approach is relative low. Water-tight duroplasty, strong reconstrucion of anterior skull base and lumbar drainage are important for prevention of cerebrospinal leakage. We think that the lesion of anterior skull base is safely performed by appropriate craniofacial approach and reconstruction.
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