[Prevention strategies for surgical complications of sphenoid wing meningiomas].

OBJECTIVE

To explore the prevention strategies for surgical complications of sphenoid wing meningiomas.

METHODS

A total of 76 cases of sphenoid wing meningiomas were included from The People's Hospital of Henan Province from 2011 to 2014. Based on the preoperative imaging data, the patients were divided into 28 cases of lateral type, 16 cases of middle type and 32 cases of medial type. According to the different characteristics of different types of sphenoid wing meningiomas, appropriate preoperative, intraoperative and postoperative measures to prevent complications were carried out.

RESULTS

A total of 2 cases of facial nerve injury occurred in 28 cases with lateral type; 1 case of intraoperative subarachnoid hemorrhage and brain swelling occurred in 16 cases with middle type; 3 cases of oculomotor nerve damage, 1 case of optic nerve injury and 4 cases of vascular injury occurred in 32 cases with the medial type. The total incidence of complications was 14.5% (11/76).

CONCLUSION

Detailed preoperative planning according to the characteristics of different types of sphenoid wing meningiomas, intraoperative use of microsurgery and Cavitron Ultrasonic Surgical Aspirator (CUSA), following the principle of in situ removal, controlling the extent of resection of tumor adhering to cavernous sinus and the great vessels, the severe surgery complications of sphenoid wing meningiomas can be reduced.