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采用颅面联合径路切除肿瘤,包括筛窦和额窝附近的颅底。此术较常规方法更为安全、合理,并能彻底整块切除。切除病变时需有神经外科医师与头颈外科医师的相互协作,方能适宜地修复硬脑膜缺损。颅底的骨质缺损则以头皮、带蒂骨膜瓣、以及植皮来进行修复。操作技术: 手术时插管全身麻醉,不可使用能够增加颅压的麻醉诱导剂。将18号腰穿针刺入腰部蛛网膜下腔,为了控制脑脊液的排出,连接一个闭式引流系统。膀胱内插入导尿管,同时也插入中心静
Craniofacial approach with the removal of tumors, including the ethmoid sinus and near the skull base. This technique is safer and more reasonable than conventional methods and can be completely resected. Excision of the lesion requires the cooperation of neurosurgeons and head and neck surgeons in order to properly repair the dura defect. Skull base of the bone defect scalp, pedicled periosteal flap, and skin grafts to be repaired. Operating techniques: Intubation anesthesia during surgery, anesthesia inducers that increase intracranial pressure can not be used. The 18th lumbar needle into the waist of the subarachnoid space, in order to control the discharge of cerebrospinal fluid, connect a closed drainage system. Into the bladder into the catheter, but also inserted into the central static