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22대 대한민국 국회 국회정보길라잡이 국회의원검색
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Background: To evaluate surgical outcomes of petroclival meningiomas based on tumor types and approaches, including the endoscopic transorbital approach (eTOA).

Materials and Methods: This retrospective study reviewed 47 patients who underwent surgery for petroclival meningioma in Asan Medical Center from March 2021 to December 2022. Tumor types were classified into cavernous, upper clival, petrous apex, and tentorial. Surgical approaches included anterior petrosal, combined petrosal, retrosigmoid, and eTOA. Outcomes were analyzed based on tumor size, extent of resection, and cranial nerve preservation.

Results: Patients’ median follow-up was 13.6 months. The mean tumor size was 3.2 cm. WHO grade 1 meningioma was found in 37 patients, and grade 2 in 10. Preoperative symptoms included facial pain (46.8%), headache (19.1%), and hearing loss (19.1%). The most common surgical approach was anterior petrosal approach (63.8%). Gross total resection (GTR) was achieved more frequently in smaller tumors (mean size 3.1 cm, P = 0.038) and those with high T2 weighted-image signal intensity (P = 0.013). Postoperative complications included abducens nerve palsy in 11 patients (23%), followed by oculomotor and trochlear nerve palsies in 6 patients (13%). Surgery-related complications also included cerebrospinal fluid leakage in 4 patients (9%) and temporal lobe injury in 5 patients (11%).

Conclusions: Surgical outcomes of petroclival meningiomas are influenced by tumor type and approach.

GTR is associated with smaller tumor size and specific imaging characteristics. Comprehensive anatomical knowledge and multidisciplinary collaboration are essential for optimizing surgical outcomes and minimizing morbidity.

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권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
Efficacy of endoscope in microvascular decompression surgery for hemifacial spasm = 안면 연축에 대한 미세혈관 감압술 시 내시경의 유용성 2예 : report of 2 cases Tae-Min Cheon, Kyung-Min Kim p. 98-105
Surgical management of pontine cavernous malformations = 교뇌 해면혈관기형의 수술적 치료 : 문헌 고찰 및 증례 중심 리뷰 : a focused review with case illustrations Won-Jae Lee, Kyuha Chong, Jung-Won Choi, Doo-Sik Kong, Do-Hyun Nam, Jung-Il Lee, Ho Jun Seol p. 49-60
Endoscopic transorbital approaches in neurosurgery : a bibliometric analysis of evolution, trends, and global contributions Juan L. Gómez-Amador, Rodolfo Villalobos-Díaz, Luis A. Rodríguez-Hernández, Tania Montserrat Jiménez-Molina, J. Tomás Moncada-Habib p. 61-71
Perceived benefits of endoscope holder use in neuroendoscopic procedures = 뇌 내시경 수술에서 내시경 홀더의 활용 효과에 대한 다기관 설문 분석 : a multi-institutional survey study Sae Min Kwon, Chang-Ki Hong p. 72-80
Surgical outcomes of the petroclival meningiomas related to tumor type = 추체사대부 뇌수막종의 종류에 따른 수술 결과 : 고전적 종양 분류 및 최근 수술기법에 따른 업데이트 : Classic tumor classification and recent updated surgical approaches Dong-Won Shin, Joonho Byun, Hyun Seok Lee, Heejun Yoo, Chang-Ki Hong p. 81-92
섬유성 이형성증에 의한 외이도 폐쇄증 = A case of external auditory canal stenosis due to fibrous dysplasia treated by canaloplasty with temporalis fascia and skin composite graft : 측두근막과 피부 복합 이식으로 폐쇄성형술을 시행한 1예 김혜빈, 임지형, 한재상, 박시내 p. 93-97
(A) case of facial erysipelas originating from the auricle = 이개로부터 발생한 안면부 단독 환자 1예 Beom Cho Jun p. 106-111

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