在内镜经鼻蝶入路鞍区-蝶鞍上区手术中使用新型超声骨吸引器进行骨切除：技术说明。
Bone removal with a new ultrasonic bone curette during endoscopic endonasal approach to the sellar-suprasellar area: technical note.
机构信息
Department of Neurological Sciences, Division of Neurosurgery, Università degli Studi di Napoli Federico II, Naples, Italy.
出版信息
Neurosurgery. 2010 Mar;66(suppl_1):ons-E118. doi: 10.1227/01.NEU.0000365929.26699.02.
BACKGROUND
Accessing intradural lesions via an extended endoscopic endonasal approach requires a relatively large bony removal over the skull base.
OBJECTIVE
We describe the Sonopet ultrasonic bone curette with a new dedicated endonasal hand-piece.
MATERIALS AND METHODS
We used this ancillary device in 27 nonconsecutive endonasal procedures for different skull base lesions (18 standard pituitary operations and 9 extended approaches for either meningiomas or craniopharyngiomas).
RESULTS
The ultrasonic bone curette with endonasal hand-piece was easy to use and effective during the removal of the bone covering or when close to the carotid and optic prominences, as well as in preserving the integrity of the superior intercavernous sinus. In only 1 case was small tearing of the dura mater observed during the bony removal. No cases of injury to the major neurovascular structures occurred.
CONCLUSION
The Sonopet ultrasonic bone curette is a useful tool during endoscopic endonasal skull base surgery.
背景
通过扩大经鼻内镜入路进入硬脑膜内病变需要在颅底进行相对较大的骨切除。
目的
我们介绍了带有新型专用经鼻内手柄的 Sonopet 超声骨刮匙。
材料和方法
我们在 27 例不同的颅底病变的非连续经鼻内镜手术中使用了这种辅助设备（18 例标准垂体手术和 9 例用于脑膜瘤或颅咽管瘤的扩大入路）。
结果
经鼻内手柄的超声骨刮匙易于使用，在切除覆盖骨或靠近颈动脉和视神经隆起时以及在保持海绵间窦完整性方面非常有效。仅在 1 例中，在骨切除过程中观察到硬脑膜的小撕裂。没有发生主要神经血管结构损伤的病例。
结论
Sonopet 超声骨刮匙是内镜经鼻颅底手术中的有用工具。
Zotero 插件