Boardman John F, Rothfus William E, Dulai Harjot S
Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Otolaryngol Clin North Am. 2008 Feb;41(1):195-213, vii. doi: 10.1016/j.otc.2007.10.006.
Endoscopic surgery using an expanded endonasal approach now allows surgical access to an increasing range of parasellar, suprasellar, clivus, and petrous apex lesions. Accurate preoperative planning requires proper interpretation of CT and MRI results. It is essential to identify important anatomic landmarks and to recognize the appearance of common lesions and pseudolesions. Postoperative imaging must evaluate for residual tumors and identify iatrogenic conditions.
采用扩大经鼻入路的内镜手术现在能够手术治疗越来越多的鞍旁、鞍上、斜坡和岩尖病变。准确的术前规划需要正确解读CT和MRI结果。识别重要的解剖标志以及认识常见病变和假病变的表现至关重要。术后影像学检查必须评估残留肿瘤并识别医源性情况。