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麻醉、防腐、显微镜:耳神经学的融合。

Anesthesia, antisepsis, microscope: the confluence of neurotology.

作者信息

Lustig Lawrence R

机构信息

Division of Otology, Neurotology, and Skull Base Surgery, Department of Otolaryngology - Head and Neck Surgery, University of California, 400 Parnassus Avenue, Suite ACC-746, San Francisco, CA 94143-0342, USA.

出版信息

Otolaryngol Clin North Am. 2007 Jun;40(3):415-37, vii. doi: 10.1016/j.otc.2007.03.013.

DOI:10.1016/j.otc.2007.03.013
PMID:17544689
Abstract

Neurotology and skull base surgery slowly emerged out of a confluence of interrelated disciplines and technologies over the past century to become the field that we know today. Its formation required the marriage of neurosurgery and otology, the introduction of the operating microscope, and advances in surgical technique, anesthesia, and radiology. Along the way, the field also began involving specialists within ophthalmology and craniofacial and plastic and reconstructive surgery. Lastly, and perhaps most importantly, the formation of neurotology and skull base surgery required pioneering surgeons who were willing to push the boundaries of their training, sometimes under the ridicule or scorn of the medical establishment. This historical overview focuses upon the origins of the specialty, from the birth of otology and neurosurgery up through the last quarter century.

摘要

在过去的一个世纪里,神经耳科学和颅底外科逐渐从相互关联的学科和技术融合中脱颖而出,发展成为我们如今所熟知的领域。其形成需要神经外科与耳科学的结合、手术显微镜的引入以及手术技术、麻醉学和放射学的进步。在此过程中,该领域还开始涉及眼科、颅面外科以及整形与重建外科的专家。最后,或许也是最重要的一点,神经耳科学和颅底外科的形成需要有开拓精神的外科医生,他们愿意突破自身专业训练的局限,有时还会遭到医学机构的嘲笑或轻视。这篇历史综述聚焦于该专业的起源,从耳科学和神经外科的诞生一直到过去的四分之一个世纪。

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