Endoscopic Transpterygoid Repair of Sphenoid Sinus Meningocele: A Comprehensive Case Report and Literature Review

IF 1.6 4区医学 Q2 OTORHINOLARYNGOLOGY

Auris Nasus Larynx Pub Date : 2024-08-19 DOI:10.1016/j.anl.2024.08.003

Aiko Shimizu , Seiichiro Makihara , Ryoji Imoto , Koji Hirashita , Mizuo Ando

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Abstract

We report a challenging and uncommon case involving a 53-year-old Japanese man with cerebrospinal fluid (CSF) leakage caused by a meningocele in the lateral recess of the sphenoid sinus. Our innovative treatment approach involved a combination of transpterygoid and endoscopic modified medial maxillectomy techniques, with special emphasis on the preservation of the sphenopalatine artery. This strategic preservation was pivotal to the successful use of the ipsilateral nasoseptal flap for reconstruction, which played a crucial role in the prevention of postoperative CSF leakage. Otolaryngologists and neurosurgeons collaborated to perform the bath-plugging technique; effective collaboration was instrumental to the success of the procedure. This report highlights significant advancement from conventional frontal craniotomy to a more sophisticated endoscopic technique, shows the importance of meticulous surgical planning and execution, emphasizes careful preservation of critical anatomical structures during complex neurosurgical and otolaryngological procedures, and underscores the evolving landscape of surgical approaches for managing complex medical conditions.

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内窥镜经蝶窦修复蝶窦脑膜囊肿：综合病例报告和文献综述

我们报告了一例极具挑战性的罕见病例，患者是一名 53 岁的日本男子，其脑脊液（CSF）漏是由蝶窦外侧凹的脑膜囊引起的。我们的创新治疗方法是结合经蝶窦切除术和内窥镜改良上颌骨内侧切除术，特别强调保留蝶窦动脉。这种战略性的保留对于成功使用同侧鼻隔皮瓣进行重建至关重要，而鼻隔皮瓣在防止术后 CSF 渗漏方面发挥了关键作用。耳鼻喉科医生和神经外科医生合作实施了浴插技术；有效的合作对手术的成功至关重要。本报告强调了从传统的额部开颅手术到更复杂的内窥镜技术的重大进步，显示了缜密的手术计划和执行的重要性，强调了在复杂的神经外科和耳鼻喉科手术中小心保护关键解剖结构的重要性，并强调了管理复杂病症的手术方法的不断发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Auris Nasus Larynx 医学-耳鼻喉科学

CiteScore

3.40

自引率

5.90%

发文量

169

审稿时长

30 days

期刊介绍： The international journal Auris Nasus Larynx provides the opportunity for rapid, carefully reviewed publications concerning the fundamental and clinical aspects of otorhinolaryngology and related fields. This includes otology, neurotology, bronchoesophagology, laryngology, rhinology, allergology, head and neck medicine and oncologic surgery, maxillofacial and plastic surgery, audiology, speech science. Original papers, short communications and original case reports can be submitted. Reviews on recent developments are invited regularly and Letters to the Editor commenting on papers or any aspect of Auris Nasus Larynx are welcomed. Founded in 1973 and previously published by the Society for Promotion of International Otorhinolaryngology, the journal is now the official English-language journal of the Oto-Rhino-Laryngological Society of Japan, Inc. The aim of its new international Editorial Board is to make Auris Nasus Larynx an international forum for high quality research and clinical sciences.