Duckworth Edward A M, Silva Fernando E, Chandler James P, Batjer H Hunt, Zhao Jin-cheng
Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL 60622, USA.
Surg Neurol. 2008 Jan;69(1):93-8; discussion 98. doi: 10.1016/j.surneu.2007.07.054.
Many contemporary neurosurgery residents, cordoned by work hour restrictions and drawn to newer technologies such as endovascular therapy, lack the proper direction necessary to learn the essentials of temporal bone dissection. A thorough knowledge of temporal bone anatomy combined with guidance regarding proper surgical technique makes temporal bone dissection an efficacious and fundamental learning activity. There is currently no concise guide for neurosurgical training programs to use in teaching the essentials of this dissection.
Over several years, the authors worked with neurosurgery residents to determine the key concepts necessary to gain a fundamental working knowledge of temporal bone dissection.
We have identified 5 essential surgical principles and developed a step-by-step dissection technique useful for neurosurgery residents.
Using this template, neurosurgery residents can make the most of their time in the skull base laboratory, becoming familiar with relevant temporal bone anatomy in situ and becoming facile with the surgical techniques necessary for its safe dissection.
许多当代神经外科住院医师受到工作时间限制的束缚，并被诸如血管内治疗等新技术所吸引，缺乏学习颞骨解剖学要点所需的正确指导。对颞骨解剖学的全面了解以及有关正确手术技术的指导，使得颞骨解剖成为一项有效且基础的学习活动。目前尚无简洁的指南供神经外科培训项目用于教授这种解剖的要点。
多年来，作者与神经外科住院医师合作，以确定获得颞骨解剖学基本实用知识所需的关键概念。
我们确定了5条基本手术原则，并开发了一种对神经外科住院医师有用的分步解剖技术。
使用此模板，神经外科住院医师可以充分利用他们在颅底实验室的时间，熟悉颞骨的相关原位解剖，并熟练掌握其安全解剖所需的手术技术。
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