Janecka I P, Nuss D W, Sen C N
Department of Otolaryngology, University of Pittsburgh, Pennsylvania.
Acta Neurochir Suppl (Wien). 1991;53:199-203. doi: 10.1007/978-3-7091-9183-5_31.
The technique of the midfacial split for access to the central cranial base is described. It provides--using bilateral facial osteotomies and soft tissue mobilization--a unified surgical field extending in the sagittal plane from the anterior cranial fossa floor and sphenoid sinus to the level of the fourth cervical vertebral body. In the axial plane, the periphery of the surgical access may extend to the jugular fossae and the hypoglossal canals. Experiences and results in eight patients are presented.
本文描述了用于进入中颅底的面中部劈开技术。该技术通过双侧面部截骨术和软组织松解，提供了一个统一的手术视野，在矢状面上从前颅窝底和蝶窦延伸至第四颈椎椎体水平。在轴位平面上，手术入路的周边可延伸至颈静脉窝和舌下神经管。文中介绍了8例患者的经验和结果。
