Microsurgical management of intracranial and extracranial tumors
Abstract:Objective A retrospective study had been made on the preoperative embolization of supplying arteries and microsurgical management of 60 cases of tumors with intracranial and extracranial extension treated in our hospital since the year 1992 till now in order to improve the clinical outcomes of these diseases.Methods There were 42 males and 18 females with an age from 11 months to 68 years (mean 32.2 years) in this series. Thirty cases were located in anterior fossa, sixteen in middle fossa and fourteen in posterior fossa. Forty-eight cases were examined by DSA and preoperative embolization of supplying arteries of tumors were made for 45 cases. The embolized arteries included superficial temporal artery , posterior auricular artery and meningeal artery and so on from external carotid artery. Microsurgical techniques and different approaches had been utilized to remove tumors. Results Forty-two cases had been totally removed and others subtotally resected. The postoperative morbidity was zero. Seven months to seven years' follow up study showed that 34 cases resumed normal life and 18 cases with dependent life and 8 with recovery to some extent.Conclusion The preoperative embolization of supplying arteries of tumors makes it possible to reduce bleeding during operation and increase the possibility to remove tumors totally. Microsurgical and piecemeal techniques as well as combined approaches may result in improved clinical results.
Keywords:Intracranial and extracranial tumorEmbolizationSurgical operation
Publication Date:2004-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:3( 411-413 )
