Zimmer Lee A, Theodosopoulos Philip V
University of Cincinnati Medical Center: Departmentof Otolaryngology-Head and Neck Surgery and University of Cincinnati Neuroscience Institute, Cincinnati, Ohio, USA.
Curr Opin Otolaryngol Head Neck Surg. 2009 Apr;17(2):75-8. doi: 10.1097/moo.0b013e328325a525.
Anterior cranial base surgery is undergoing a revolution in minimally invasive techniques. Both open, microscopic and transnasal endoscopic approaches have gained considerable attention in the last few years. The purpose of the current article is to evaluate recent advances in open and endoscopic approaches to the anterior skull base.
Recent data have evaluated the endoscopic anatomy of the skull base, defined surgical corridors, addressed anatomical limitations to endoscopic skull base surgery, and discussed the limitations of skull base reconstruction. Over the same period of time, new surgical transcranial approaches have challenged the traditional operative corridors to the anterior skull base. In this study, the most recently published data pertaining to open and endoscopic approaches to the anterior cranial base are reviewed.
The data provide support for both open and endoscopic approaches to the anterior cranial base. Limitations to the approaches are discussed.
前颅底手术正在经历微创技术的变革。开放手术、显微镜手术和经鼻内镜手术在过去几年中都受到了相当大的关注。本文的目的是评估开放手术和内镜手术在前颅底手术中的最新进展。
近期数据评估了颅底的内镜解剖结构，定义了手术通道，解决了内镜颅底手术的解剖学限制，并讨论了颅底重建的局限性。在同一时期，新的经颅手术方法对传统的前颅底手术通道提出了挑战。在本研究中，回顾了与前颅底开放手术和内镜手术相关的最新发表数据。
数据为前颅底开放手术和内镜手术提供了支持。同时也讨论了这些手术方法的局限性。
