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蝶窦分隔:内镜垂体手术中不可预测的解剖标志。

Sphenoid sinus septations: unpredictable anatomic landmarks in endoscopic pituitary surgery.

机构信息

Department of Otolaryngology-Head and Neck Surgery, University of Western Ontario, London, ON.

出版信息

J Otolaryngol Head Neck Surg. 2011 Dec;40(6):489-92.

PMID:22420437
Abstract

OBJECTIVE

We sought to determine whether sphenoid sinus septations could be used as predictable landmarks to identify the internal carotid artery prominence.

METHODS

Fifty-six preoperative, high-resolution computed tomographic scans were identified between January 2007 and December 2009 on patients undergoing endoscopic transsphenoidal pituitary tumour resection. The number and termination locations of sphenoid sinus septations were noted, and their relationship to the internal carotid artery prominence was studied.

RESULTS

In this series, each sphenoid sinus contained a mean of 1.57 septations. We analyzed 88 sphenoid sinus septations and found only 17% inserting at either internal carotid artery prominence.

CONCLUSION

In our study, the presence of sphenoid sinus septations could not be reliably used as a surgical landmark to predict the location of the internal carotid artery. Our article stands in contrast to other literature on this topic.

摘要

目的

我们旨在确定蝶窦分隔是否可用作可预测的标志来识别颈内动脉隆起。

方法

2007 年 1 月至 2009 年 12 月,我们对接受内镜经蝶窦垂体瘤切除术的患者进行了 56 例术前高分辨率计算机断层扫描。记录蝶窦分隔的数量和终止位置,并研究其与颈内动脉隆起的关系。

结果

在本系列中,每个蝶窦平均包含 1.57 个分隔。我们分析了 88 个蝶窦分隔,发现只有 17%的分隔插入颈内动脉隆起处。

结论

在我们的研究中,蝶窦分隔的存在不能作为可靠的手术标志来预测颈内动脉的位置。我们的文章与该主题的其他文献形成了对比。

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Sphenoid sinus septations and their interconnections with parasphenoidal internal carotid artery protuberance: radioanatomical study with literature review.
蝶窦分隔及其与蝶窦旁颈内动脉隆起的相互关系:文献复习的放射解剖学研究
Wideochir Inne Tech Maloinwazyjne. 2020 Mar;15(1):227-233. doi: 10.5114/wiitm.2019.85837. Epub 2019 Jun 16.
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An Analysis of Anatomic Variations of the Sphenoid Sinus and Its Relationship to the Internal Carotid Artery.蝶窦的解剖变异及其与颈内动脉关系的分析
Int Arch Otorhinolaryngol. 2018 Apr;22(2):161-166. doi: 10.1055/s-0037-1607336. Epub 2017 Oct 25.