Otochirurgia-Otorinolaringoiatria Az.Ospedaliera-Università di Padova, Padova, Italy.
Acta Otorhinolaryngol Ital. 2012 Oct;32(5):281-7.
Progress in the study of skull base anatomy and the different lesions involving it has led to more and more precise knowledge of the site. New diagnostic tools have allowed better definition of various diseases, and the use of an operative microscope and modern surgical instruments have all contributed to the development of microsurgery of the skull base. Refinements in microsurgical techniques have led to the description of multiple approaches to the skull base. Lateral approaches to the skull base have been described by pioneering surgeons who created the basis of this surgery and further contributed with their own experience. Refinements and modifications to the original technique have taken place over years, to the point that nowadays the large number of approaches described by oto- and neurosurgeons have led to some confusion. We have attempted to simplify this by retracing it to the original, basic steps based on the most representative publications and personal experience.
颅底解剖学研究的进展以及涉及颅底的不同病变，使我们对该部位有了越来越精确的认识。新的诊断工具使各种疾病的定义更加明确，手术显微镜和现代手术器械的使用都促进了颅底显微外科的发展。显微外科技术的完善导致了对颅底多种入路的描述。颅底外侧入路是由开拓性的外科医生描述的，他们为这项手术奠定了基础，并凭借自己的经验进一步做出了贡献。经过多年的改进和修改，原始技术已经发生了变化，以至于如今耳科和神经外科医生所描述的大量入路方法导致了一些混淆。我们试图通过根据最具代表性的出版物和个人经验追溯到原始的基本步骤来简化这一点。
