Department of Neurosciences Reproductive and Odontostomatological Sciences, Division of Neurosurgery, Università degli Studi di Napoli Federico II, Naples, Italy.
Department of Neurosciences Reproductive and Odontostomatological Sciences, Division of Neurosurgery, Università degli Studi di Napoli Federico II, Naples, Italy.
World Neurosurg. 2014 Dec;82(6 Suppl):S164-70. doi: 10.1016/j.wneu.2014.08.005.
Different surgical approaches have been used over the years in order to access skull base. The endoscopic endonasal approach represents a direct and minimally invasive approach to the suprasellar, retrosellar, and retroclival space, with the advantage of avoid brain retraction and visualize safely and effectively the surgical target. The present contribution aims to provide anatomical details of the skull base as seen from below (i.e., via an endoscopic endonasal approach).
Five human cadaver heads were dissected. The anatomical neurovascular structures within the skull base were visualized and carefully described from an endoscopic endonasal view. The advantages and limitations of the endoscopic endonasal route were discussed as well.
The entire skull base region, as seen from the endoscopic endonasal viewpoint, has been divided in 4 main regions: anterior skull base, middle skull base, posterior skull base and parasellar area.
The development of endoscopic techniques has opened different perspectives over the skull base surgery. Endonasal surgery provides access to a wide range of skull base lesions via a natural surgical corridor (i.e., the nasal cavities).
多年来，为了进入颅底，已经采用了不同的手术入路。鼻内镜经鼻入路是一种直接的微创方法，可以进入鞍上、鞍后和斜坡后间隙，其优点是避免脑牵拉，并安全有效地可视化手术目标。本研究旨在提供从下方（即通过鼻内镜经鼻入路）观察到的颅底解剖细节。
对 5 具人头尸体进行解剖。从鼻内镜经鼻入路观察颅底的神经血管结构，并对其进行仔细描述。还讨论了经鼻内镜入路的优缺点。
从鼻内镜经鼻入路观察，整个颅底区域可分为 4 个主要区域：前颅底、中颅底、后颅底和鞍旁区。
内镜技术的发展为颅底手术开辟了不同的视角。经鼻内镜手术通过自然的手术通道（即鼻腔）可到达广泛的颅底病变。
