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중두개저에 위치한 종양의 처치를 위한 상악골 수평 골절단술의 이용 : 증례보고
The application of le fort I osteotomy approach to the mid-skull base for tumor resection : A case report

대한구강악안면외과학회지 1995년 21권 4호 p.586 ~ 592

박진호, 이희경, 진병로, 김오룡,

소속 상세정보

박진호 (  ) - 영남대학교
이희경 (  ) - 영남대학교
진병로 (  ) - 영남대학교
김오룡 (  ) - 영남대학교

KMID : 0355619950210040586

Abstract

Many surgical approaches to the clivus and upper cervical spine have been performed in the treatment of skull base tumors over the past 50 years. However the outcome of surgery has been complicated by difficulties of access to the whole clivus,
with
significant morbidity of the procedure.
The Le Fort I osteotomy with downfracturing of the maxilla has recently been adopted as asurgical option of the mid-skull base tumor. Compared with other popular techniques, the Le Fort I osteotomy provides excellent exposure for clivus tumors,
and
other tumors of the central base of the skull, within short total anesthesia time.
We experienced a case of 64-year-old patient who involved invasive pituitary adenoma in combined surgery with department of neurosurgery. We repory its clinical findings and details of the operative procedure through review of literature.