悪性頭蓋底疾患に対する頭頸部外科での常識—脳神経外科の非常識

Common Sense in Head and Neck Surgery for Malignant Skull Base Disease:Lack of Common Sense in Neurosurgery

Point

・脳神経外科，耳鼻咽喉科・頭頸部外科，形成外科の3科のチームワークが重要である．

・腫瘍を露出させず健常組織に包むような形で切除することが何よりも重要である．

　Skull base surgery for malignant skull base disease is one of the most difficult surgeries. The success of the surgery depends on the harmonization of the excellent skills of the three departments: neurosurgery, otorhinolaryngology/head and neck surgery, and plastic surgery. In addition, it is necessary to perform complete resection, that is, resection in which the malignant tumor is removed along with some surrounding healthy tissue. It is known that there is a statistically significant difference between negative and positive resection margins. In the event of a positive resection margin, chemoradiation with high-dose cisplatin is standard for the most common squamous cell carcinomas.