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[鼻内镜下经鼻腔翼腭窝手术的临床解剖学]

[The clinic anatomy of operation on pterygopalatine fossa through nasal cavity under endoscope].

作者信息

Zhang Qinxiu, Zou Jian, Liu Shixi, Qin Gang

机构信息

Department of Otolaryngology, West China Hospital, Sichuan University, Chengdu, 610041, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2007 Mar;21(5):211-2, 216.

PMID:17536456
Abstract

OBJECTIVE

To provide anatomic data of pterygopalatine fossa(PPF) for endoscopic PPF surgery.

METHOD

Fifteen wet adult skull specimen fixed in 10% formaldehyde were studies. From center the skulls were sawed, the middle and inferior turbinate were resected, the anterior and posterior ethmoid sinuses were resected. Then after punch out perpendicular part of palatine bone and posterior wall of maxillary,the pterygopalatine fossa were showed and some related measurements were made.

RESULT

This pathway can lead to a good view of pterygopalatine fossa. The main soft structures in PPF were maxillary artery and nerve with their branches. The diameter of artery branches was smaller than 3 mm.

CONCLUSION

The endoscopic PPF surgery is safe and practical from the anatomic data.

摘要

目的

为翼腭窝(PPF)内镜手术提供解剖学数据。

方法

研究15例用10%甲醛固定的成人湿性颅骨标本。从颅骨中心锯开,切除中鼻甲和下鼻甲,切除前后筛窦。然后凿除腭骨垂直部和上颌后壁后,显露翼腭窝并进行一些相关测量。

结果

此入路可良好显示翼腭窝。翼腭窝内主要的软组织是上颌动脉及其分支神经。动脉分支直径小于3mm。

结论

从解剖学数据来看,翼腭窝内镜手术是安全可行的。

相似文献

1
[The clinic anatomy of operation on pterygopalatine fossa through nasal cavity under endoscope].[鼻内镜下经鼻腔翼腭窝手术的临床解剖学]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2007 Mar;21(5):211-2, 216.
2
Endoscopic study for the pterygopalatine fossa anatomy: via the middle nasal meatus-sphenopalatine foramen approach.翼腭窝解剖结构的内镜研究:经中鼻道-蝶腭孔入路
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[The anatomical study of the pterygopalatine fossa under endoscopy via the nasal cavity approach].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2009 Jun;23(12):535-8.
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[Applied anatomy of the internal maxillary artery in pterygopalatine fossa under transnasal endoscopic surgery].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2009 Jan;23(1):23-6.
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Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2007 Oct;21(19):869-72.
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Endoscopic transnasal resection of ectopic esthesioneuroblastoma in the pterygopalatine fossa: technical case report.经鼻内镜切除翼腭窝异位嗅神经母细胞瘤:技术病例报告。
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Endoscopic endonasal dissection of the pterygopalatine fossa, infratemporal fossa, and post-styloid compartment. Anatomical relationships and importance of eustachian tube in the endoscopic skull base surgery.经鼻内镜翼腭窝、颞下窝及茎突后间隙的解剖。咽鼓管在内镜颅底手术中的解剖关系及重要性。
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[Endoscopic transnasal prelacrimal recess-maxillary sinus approach for tumors in the pterygopalatine fossa].[经鼻内镜泪前隐窝-上颌窦入路治疗翼腭窝肿瘤]
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2012 Jan;47(1):26-9.
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Nasal cavity-maxillary sinus-pterygopalatine fossa-Meckel's cave: a preliminary anatomic study of an endoscopy-based operative approach.鼻腔-上颌窦-翼腭窝- Meckel 腔:基于内镜的手术入路的初步解剖研究。
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