Ransom Evan R, Chiu Alexander G
Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA.
Otolaryngol Clin North Am. 2010 Aug;43(4):875-95. doi: 10.1016/j.otc.2010.04.012.
Development of minimally invasive approaches has become a significant driver across surgical specialties in recent years. Purely endoscopic resections with proper attention to oncologic margins are now possible, with the potential benefit of decreased perioperative morbidity and improved cosmesis compared with traditional open transfacial or craniofacial approaches. Efforts to reduce perioperative morbidity and mortality have been applied with increasing sophistication in the most complex anatomic regions of the human body, including the head and neck. These efforts have resulted in an expanded role of purely endoscopic approaches to the paranasal sinuses, the anterior skull base, and the anterior cranial fossa. This article reviews the current understanding and available literature regarding the diagnosis and management of complications associated with endoscopic anterior skull base surgery.
近年来，微创方法的发展已成为各个外科专业的重要驱动力。现在，在适当关注肿瘤切缘的情况下，单纯内镜切除成为可能，与传统的开放式经面部或颅面手术方法相比，具有降低围手术期发病率和改善美容效果的潜在益处。在人体最复杂的解剖区域，包括头颈部，为降低围手术期发病率和死亡率所做的努力越来越精细。这些努力使得单纯内镜方法在鼻窦、前颅底和前颅窝的应用范围得以扩大。本文综述了目前关于内镜下前颅底手术相关并发症的诊断和处理的认识及现有文献。
