Pieper Daniel R
Michigan Head and Spine Institute, 26850 Providence Parkway, Suite 240, Novi, MI 48374, USA.
Otolaryngol Clin North Am. 2012 Apr;45(2):439-54, x. doi: 10.1016/j.otc.2011.12.011. Epub 2012 Feb 11.
This article provides an overview of the technical considerations of endoscopy of the posterolateral skull base and cerebellopontine angle (CPA). Specific areas of focus are on the instrumentation requirements for neuroendoscopy of the CPA; the learning curve associated with this technique; and a complete description of the surgical techniques necessary to perform the procedure, along with outcomes and results. The article provides a general overview of the endoscopic approach to the CPA. For a variety of pathologies, the emphasis is on performing this technique for acoustic tumors and hearing preservation. Insights as to how the author's practice evolved in its use of neuroendoscopic procedures are provided.
本文概述了后外侧颅底及桥小脑角(CPA)内镜检查的技术要点。重点关注的具体领域包括CPA神经内镜检查的器械要求;与该技术相关的学习曲线;对进行该手术所需的手术技术的完整描述,以及手术结果。本文提供了CPA内镜手术方法的总体概述。对于多种病理情况,重点是针对听神经瘤实施该技术并保留听力。文中还介绍了作者在神经内镜手术应用方面的实践演变情况。