CAJ | 학술논문

目的探讨经额颞眶颧联合入路切除颅眶沟通肿瘤的优越性。方法经头颅CT或MRI确诊，手术采取经额颞眶颧联合入路，显微镜下切除肿瘤。结果肿瘤全切除23例，次全切除7例，大部分切除5例，无手术死亡。随访2～8年，恢复原工作26例，肿瘤复发9例，其中恶性肿瘤6例，蝶骨嵴脑膜瘤复发3例。结论颅眶沟通肿瘤经额颞眶颧联合入路显微镜下切除是一种安全、有效的方法。
목적탐토경액섭광권연합입로절제로광구통종류적우월성。방법경두로CT혹MRI학진，수술채취경액섭광권연합입로，현미경하절제종류。결과종류전절제23례，차전절제7례，대부분절제5례，무수술사망。수방2～8년，회복원공작26례，종류복발9례，기중악성종류6례，접골척뇌막류복발3례。결론로광구통종류경액섭광권연합입로현미경하절제시일충안전、유효적방법。
Objective　To study the operative approach for cranio-orbital tumor.Methods　Thirty-five patients with cranio-orbital tumor diagnosed by CT or MRI were treated by the frontal-temporal-orbital-zygomatic approach with microsurgery. Results　Total resection was done in 23 cases, subtotal resection in 7 cases, and gross resection in 5 cases, with no mortality. Of the 35 patients, who were followed up for 2～8 years, 26 returned to their work, and 9 suffered recurrence. Six of the 9 cases were malignant tumor, and the other 3 were sphenoid wing meningioma.Conclusion　It is safe and effective to resect cranio-orbital tumor by the frontal-temporal-orbital-zygomatic approach with microsurgery.