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例1男,25岁。左眶上缘胀痛15 d于1998年8月27日入院。CT片示左额窦内阴影,眶上壁及额窦外侧壁、部分颅内板骨质破坏。采用冠状径路切除肿瘤。沿发际内0.5～1.0 cm行一冠状切口,或单侧跨中线弧形切口,向下翻起额部皮瓣,将额窦瘤体外侧额骨瓣掀起,分块或整块摘除瘤体。对于额部较小骨质缺损,以自体额骨瓣修复,较大者以塑形钛网进行即时修补。术中见额窦外侧壁破坏,呈2 cm×2 cm缺损。眶上壁破损达3 cm×3cm,前颅底轻度破损。瘤组织质脆、无包膜,充满窦腔。病理报告:额窦骨化纤维瘤。
Example 1 Male, 25 years old. Pain in the left supraorbital margin 15 d was admitted on August 27, 1998. CT film showed the left frontal sinus shadow, supraorbital wall and frontal sinus lateral wall, part of the intracranial plate bone destruction. Coronal approach to remove the tumor. Along the hair line 0.5 ~ 1.0 cm a coronal incision, or unilateral midline arc incision, the amount of flaps rolled down the frontal frontal sinus frontal bone flap off, block or the whole removal of the tumor . For the amount of the Department of small bone defects, with autologous forehead bone flap repair, the larger titanium mesh for immediate repair. Surgery see frontal sinus lateral wall damage, was 2 cm × 2 cm defect. Orbital wall damage up to 3 cm × 3cm, mild anterior skull base damage. Tumor tissue crisp, non-enveloped, full of sinus. Pathology report: frontal sinus fibroids.