Within a few inches, they did everything they could

2022-07-26 0 By

Sue had a huge tumor at the base of her skull, which had eaten into her nose and throat and affected her carotid artery.In order not to affect xiao Su’s future quality of life, Beijing Tiantan Hospital neurosurgery, otorhinolaryngology, anesthesiology, intensive care medicine and other experts chose a multi-angle endoscopic nasal cavity combined with oral surgery, in xiao Su’s mouth and nose between the inches of the use of all their skills, together for him to remove the huge chordoma.Xiao Su has been discharged from hospital.Xiao Su is an energetic college student.About a year ago, he began to develop nasal congestion, and as the symptoms became more severe, su struggled to breathe and swallow under the weight of the tumor, seriously affecting his quality of life.”A young man over six feet tall came into the clinic in a very bad state of mind.”Wang Liang, deputy director of Beijing Tiantan Hospital neurosurgery tumor ward 1, said xiao Su told him that he had sought medical treatment in many local hospitals, but many doctors were helpless because of the huge tumor, complex condition and high surgical risk.Xiao Su’s condition has attracted the attention of many experts. Zhang Junting, former director of neurosurgery and brain stem tumor expert of skull base, and Wu Zhen, director of tumor ward 1, together with Wang Liang, conducted a “heavyweight” consultation for Xiao Su.”The tumor is so large that it can be punctured through the nose if you’re not careful.”Experts judge, what small su suffers from is skull base relatively rare chordoma, this kind of tumor often encroach on the adjacent structure such as nasal cavity, mouth pharynx, show inside skull outside communication sex growth.At present, Susue’s tumor has invaded the ramp bone, sinus and posterior pharyngeal wall, and enveloped both internal carotid arteries.It is understood that such a large volume of tumor resection, relying on a single professional department is often unable to achieve complete tumor resection, skull base neurosurgery, otolaryngology, intensive care medicine and other multidisciplinary cooperation can achieve the goal of improving tumor resection rate and reducing postoperative complications.”In the past, we used to do a tracheotomy to keep the airway open.However, if we use this method, there may be long-term side effects such as narrowing of the airway.Wang liang said, considering the little su younger, for the sake of his future quality of life, experts of neurosurgery and otolaryngology Meng Lingzhao and intensive medicine Yang Yanlin, anaesthesia Lu Yu several experts repeatedly discussed, a final decision, instead of tracheotomy in endotracheal intubation, utmost reduce the surgical trauma on the patients.”This approach is a test of our ability of multi-disciplinary cooperation and coordination.”Meng to breaths, according to the way of tumor growth, experts decided to adopt from the mouth, nose two pathways of the collaborative operation mode, use of otolaryngology and professional advantages of neurosurgery, maximum exposure tumor, in ensuring internal carotid artery, and other important organization is not damaged at the same time, the removal of the tumor as thorough as possible.On February 16, Xiao Su was wheeled into the operating room.A multidisciplinary collaborative operation is about to begin, only “in inches”.Anesthesiologist Lu Yu first carried out endotracheal intubation for the patient, neurosurgeon Dr. Yang Yang completed a series of preparations such as autologous repair material preparation, head frame fixation, neuronavigation, meng Lingzhao fully exposed Xiao Su’s tumor through the nasal cavity, a little bit of the tumor in the sinus resection;Subsequently, Wang liang, assisted by neuronavigation, used neuroendoscopy to remove the tumor in the patient’s slope area.Without rest, the doctors are about to embark on the hardest part of the operation.”We were given space two fingers wide, and in that space the tumor was tightly wrapped in the muscles on both sides of the patient’s pharynx.”According to the preoperative plan, Meng first carefully cut the posterior pharyngeal wall of the patient, and then extended a 70° endoscope through the nasal cavity to the tumor site. The tumor in Xiao Su’s oropharynx was completely exposed by the light of the endoscope, and then Wang Liang gradually removed the tumor from the patient’s oral cavity under direct vision.Time passed, in meng Lingzhao and Wang Liang’s close cooperation, xiao Su’s bilateral parapharyngeal space tumor to be completely cleared.The operation lasted more than six hours before the huge tumor was removed.Under the careful care of the ICU team, Xiao Su smoothly completed the process of weaning, removing the endotracheal tube, removing the nasal feeding tube and so on, and was transferred back to the ordinary ward in just a few days.By this time, his nasal congestion, difficulty swallowing and other symptoms had significantly improved, and he was able to move and eat on his own. The once sunny, vibrant boy had returned.It is understood that Beijing Tiantan Hospital neurosurgery oncology Unit 1 based on the cranial base brain stem specialty, relying on the hospital’s multidisciplinary cooperation advantage has treated a large number of patients with complex cranial base tumors.At present, the team performs more than ten cases of such multidisciplinary combined surgery every year. With the progress of technology and the increasingly mature collaboration, more patients can be relieved of pain.Declaration: The copyright of this article belongs to the original author, if there is a source error or infringement of your legitimate rights and interests, you can contact us through the mailbox, we will promptly deal with.Email address: jpbl@jp.jiupainews.com