University of Arkansas for Medical Sciences, Department of Neurosurgery, 4301 W Markham, No. 507, Little Rock, AR 72205, USA.
Neurosurgery. 2012 Jun;70(2 Suppl Operative):192-201. doi: 10.1227/NEU.0b013e31823583a1.
The middle fossa approach and extended middle fossa approach, also known as the anterior transpetrosal approach, are cranial base techniques for addressing small vestibular schwannomas, medial temporal bone lesions, midbasilar trunk aneurysms, and selected petroclival lesions.
To provide an outline of a number of technical nuances that are important to correct application of these approaches, maximizing exposure, and limiting potential morbidity.
Via a temporal craniotomy, the petrous apex is removed in variable degrees, depending on the exposure requirements of the lesion. The technique is described in detail with appropriate nuances of the technique provided.
The described nuances of technique in the performance of the approaches have resulted in successful application of these techniques in a significant number of cases.
Significant familiarity and practice with these surgical approach techniques are critical to applying them safely to clinical problems. A number of technical details can assist the surgeon in achieving optimal exposure and limited morbidity.
中颅窝入路和扩展中颅窝入路，也称为经岩骨前入路，是用于处理小听神经瘤、颞骨内侧病变、基底动脉中段动脉瘤和某些岩斜区病变的颅底技术。
提供一些重要的技术细节概述，这些细节对于正确应用这些方法、最大限度地扩大显露范围和限制潜在的发病率至关重要。
通过颞骨开颅术，根据病变的显露要求，不同程度地切除岩锥。详细描述了该技术，并提供了适当的技术细节。
在所描述的技术细节中，这些方法的应用在大量病例中取得了成功。
对这些手术入路技术有显著的熟悉程度和实践经验对于安全地将其应用于临床问题至关重要。一些技术细节可以帮助外科医生获得最佳的显露范围并限制发病率。
