Simal Julián Juan Antonio, Miranda Lloret Pablo, García Piñero Alfonso, Botella Asunción Carlos
Neurosurgical Department, HUyP La Fe Valencis, Blv Sur, S/N, Valencia, Spain,
Acta Neurochir (Wien). 2014 Aug;156(8):1623-6. doi: 10.1007/s00701-014-2113-x. Epub 2014 May 13.
Meckel's cave is an anatomically complex region that can be approached surgically via several routes, namely the posterolateral, lateral, anterolateral, and, due to recent advancements, anteromedial routes, with the latter being represented by the expanded endonasal approaches.
We describe in detail the surgical technique of the suprapetrous endonasal approach to Meckel's cave and highlight the main anatomical key elements involved in this approach as well as the technical aspects for avoiding surgical complications.
The suprapetrous endonasal approach to Meckel's cave avoids the brain tissue retraction, and thereby prevents postoperative brain edema.
梅克尔腔是一个解剖结构复杂的区域，可通过多种手术入路到达，即后外侧、外侧、前外侧，以及由于最近的进展而出现的前内侧入路，后者以扩大经鼻入路为代表。
我们详细描述了经岩骨上入路至梅克尔腔的手术技术，并强调了该入路涉及的主要解剖关键要素以及避免手术并发症的技术方面。
经岩骨上入路至梅克尔腔可避免脑组织牵拉，从而预防术后脑水肿。
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