Honeybul S, Neil-Dwyer D, Lang D A, Evans B T
Wessex Neurological Centre, Southampton General Hospital, UK.
Br J Oral Maxillofac Surg. 2001 Apr;39(2):149-57. doi: 10.1054/bjom.2000.0601.
Many craniofacial approaches to the sphenoethmoidal region, anterior fossa, and central skull base compartment have been described, a number of which involve the mobilization of the frontonasoorbital complex en bloc. Spetzler's modification incorporates osteotomies around the cribriform plate, to preserve olfaction. In this morphological study of three cadavers, photographs were used to show the technique and define its anatomical boundaries and limitations. The study illustrates access to a number of anatomical regions, particularly the exposure of the medial orbit, the cavernous sinus, the clivus, and the vertebrobasilar complex.
已经描述了许多用于蝶筛区域、前颅窝和中央颅底腔的颅面入路，其中一些涉及整块移动额鼻眶复合体。斯佩茨勒的改良方法包括在筛板周围进行截骨术，以保留嗅觉。在这项对三具尸体的形态学研究中，使用照片展示了该技术并确定其解剖边界和局限性。该研究说明了进入多个解剖区域的方法，特别是内侧眼眶、海绵窦、斜坡和椎基底复合体的暴露情况。
