Department of Neurosurgery, Second Affiliated Hospital of Soochow University, 1055 San Xiang Road, Suzhou 215004, Jiangsu Province, China.
J Clin Neurosci. 2010 Mar;17(3):342-6. doi: 10.1016/j.jocn.2009.05.032. Epub 2010 Jan 13.
The extended endoscopic endonasal approach to the suprasellar region was performed on 10 fresh adult cadavers to describe the anatomic landmarks and key surgical steps for safe performance of the surgical approach. The anatomic features and relationships of the sphenoidal ostia, sphenoidal sinus, and optic-carotid recess are described, as are four intradural suprasellar neurovascular structural areas, including the suprachiasmatic, subchiasmatic, retrosellar and ventricular regions. Various anatomic conditions may influence the use of the extended endoscopic endonasal approach. This approach provides a straight, midline approach to the suprasellar region and offers a multi-angled and close-up view of the relevant neurovascular structures. For clinical use, the most important surgery-related complications concern the management of operative bleeding and the prevention of postoperative cerebrospinal fluid leakage.
对 10 具新鲜成人尸体进行了扩大经鼻内镜颅底入路手术，以描述安全进行手术入路的解剖标志和关键手术步骤。描述了蝶窦口、蝶窦和视-颈动脉隐窝的解剖特征和关系，以及四个颅内鞍上神经血管结构区域，包括视交叉上、视交叉下、鞍后和脑室区域。各种解剖条件可能影响扩大经鼻内镜颅底入路的应用。该入路提供了通向鞍上区域的直的、中线入路，并提供了相关神经血管结构的多角度和特写视图。在临床应用中，最重要的与手术相关的并发症涉及手术出血的处理和预防术后脑脊液漏。
