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眶上入路:前颅窝和鞍旁病变手术治疗中传统暴露方式的替代方法。

The supraorbital approach: an alternative to traditional exposure for the surgical management of anterior fossa and parasellar pathology.

作者信息

Melamed I, Merkin V, Korn A, Nash M

机构信息

Department of Neurosurgery, Soroka University Medical Center, Beer-Sheva, Israel.

出版信息

Minim Invasive Neurosurg. 2005 Oct;48(5):259-63. doi: 10.1055/s-2005-915603.

DOI:10.1055/s-2005-915603
PMID:16320185
Abstract

OBJECT

The use of a supraorbital craniotomy as a minimally invasive neurosurgical technique to treat pathology located in the anterior cranial fossa and parasellar region is reported.

MATERIALS AND METHODS

25 patients were operated upon using the supraorbital keyhole technique to expose various lesions located in the anterior skull base. Included were benign and malignant tumors, AVM, tuberculoma and trauma.

DISCUSSION AND CONCLUSION

Utilizing small eyebrow incisions, a small supraorbital ("keyhole") craniotomy, and microneurosurgical and/or endoscopically assisted access, allowed us to gain excellent optimal and safe exposure to a number of different pathologies of the anterior base and parasellar regions. The lesions were resected under complete control and with full preservation of surrounding neurovascular structures.

摘要

目的

报道采用眶上开颅术作为一种微创神经外科技术治疗位于前颅窝和鞍旁区域的病变。

材料与方法

25例患者采用眶上锁孔技术进行手术,以暴露位于前颅底的各种病变。包括良性和恶性肿瘤、动静脉畸形、结核瘤和外伤。

讨论与结论

利用小的眉弓切口、小的眶上(“锁孔”)开颅术以及显微神经外科和/或内镜辅助入路,使我们能够对前颅底和鞍旁区域的多种不同病变获得极佳的、最佳且安全的暴露。病变在完全控制下切除,同时充分保留周围神经血管结构。

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