經臉部微形切口途徑實施顱顏切除術－卸面具皮瓣

顱顏切除術(craniofacial resection)是切除鼻腔副鼻竇及前顱底腫瘤之手術方法。傳統上需做臉部切開，術後之臉部疤痕會有美觀上之問題且面神經麻痺是另一可能之併發症。以卸面具皮瓣作顱顏面切除術，因臉部只做眼瞼周圍之小切口，術後不致形成明顯可見之臉部疤痕，導致面神經麻痺之機會也低。1名38歲女性罹患鼻腔副鼻竇扁平細胞癌第4期，主腫瘤位於鼻腔並擴展至蝶竇及前顱骨，於2000年7月經卸面具皮瓣，以顱顏切除術將腫瘤整體切除後並輔以放射線治療，術後無臉部疤痕或面神經麻痺，病人對其外觀滿意，追蹤2年半無腫瘤復發。

關鍵字

顱顏切除術；鼻腔副鼻竇腫瘤；卸面具皮瓣

並列摘要

Craniofacial resection is a standard surgical method to resect sinonasal and anterior skull base tumor. Facial incision is mandatory in traditional craniofacial resection. Postoperative scar on the face is a general aesthetic problem, and facial palsy is another possible complication. If craniofacial resection is performed using facial dismasking approach, there will be only a small circumpalpebral incision on the face. Postoperative facial scar is invisible with this approach and there is a lower risk of facial palsy. A 38-year-old female, a victim of stage 4 sinonasal squamous cell carcinoma was operated by craniofacial resection with facial dismasking flap approach in July, 2006. The major tumor mass was in the left nasal cavity and ethmoid sinus, extended into sphenoid sinus and anterior basal skull. The entire tumor was resected en bloc, followed with postoperative radiotherapy. There was no postoperative facial scar or facial palsy, and the patient was satisfied with her appearance. No tumor recurrence was seen in two and half years follow up.

並列關鍵字

craniofacial resection ； sinonasal tumor ； facial dismasking flap

國際替代計量

經臉部微形切口途徑實施顱顏切除術－卸面具皮瓣

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