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 r...
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https://www.riss.kr/link?id=A99884611
2005
Korean
학술저널
121-127(7쪽)
0
상세조회0
다운로드다국어 초록 (Multilingual Abstract)
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 r...
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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