Comprehensive Skull Base Program, Department of Otolaryngology - Head and Neck Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA.
Expert Rev Med Devices. 2010 Nov;7(6):781-91. doi: 10.1586/erd.10.61.
The evolution of minimally invasive endoscopic techniques, coupled with advances in surgical instrumentation and computer-aided surgery, has greatly facilitated the management of complex sinonasal and skull-base pathology. This accrued experience has facilitated consideration of the treatment of malignant neoplasms of the paranasal sinuses and skull base via the endoscopic route. This strategy uses the rigid endoscope as the primary surgical modality for resection of neoplasms within the paranasal sinus confines, along with the adjacent orbit and skull base. The endoscopic approach has been demonstrated to be effective, with surgical outcomes approaching the traditional open craniofacial resection, providing unparalleled visualization, avoidance of facial incisions and reduction in morbidity. This article outlines the salient components of the endoscopic paradigm for minimally invasive tumor resection, focusing on requisite technology, surgical techniques and patient outcomes.
微创内窥镜技术的发展，加上手术器械和计算机辅助手术的进步，极大地促进了复杂的鼻腔鼻窦和颅底病变的管理。这种积累的经验促进了通过内窥镜途径治疗鼻窦和颅底恶性肿瘤的考虑。这种策略使用刚性内窥镜作为主要的手术方式，用于切除鼻腔鼻窦腔内的肿瘤，以及相邻的眼眶和颅底。已经证明内窥镜方法是有效的，手术结果接近传统的开放式颅面切除术，提供无与伦比的可视化效果，避免面部切口，并减少发病率。本文概述了微创肿瘤切除术的内窥镜范例的突出组成部分，重点介绍了必要的技术、手术技术和患者结果。
