Hosemann W, Schroeder H W S
Klinik für Hals-, Nasen-, Ohrenkrankheiten, Kopf- und Hals-Chirurgie, Universitätsmedizin Greifswald, Greifswald.
Klinik und Poliklinik für Neurochirurgie, Universitätsmedizin Greifswald, Greifswald.
Laryngorhinootologie. 2015 Mar;94 Suppl 1:S153-205. doi: 10.1055/s-0034-1395669. Epub 2015 Apr 10.
In the past 2 decades, an innovative and active field of surgical collaboration has been evolved and established combining the expertise of Neurosurgery and Rhinosurgery in treatment of different lesions affecting the anterior skull base together with the adjacent intranasal and intradural areas. Important prerequesites for this development were improvements of technical devices, definitions of transnasal surgical corridors and approvements in endonasal reconstruction e. g. by use of pedicled nasal mucosal flaps. Interdisciplinary surgical teams have been established constituting specialized centers of "rhino-neurosurgery". With growing experience of these groups, it could be shown that oncological results and perioperative complications were comparable to traditional surgery while at the same time, patient's morbidity could be reduced.The present review encompasses the recent literature focussing on the development, technical details, results and complications of "rhino-neurosurgery".
在过去20年里,一个创新且活跃的外科协作领域得以发展并确立,它结合了神经外科和鼻外科的专业知识,用于治疗影响前颅底以及相邻鼻内和硬膜内区域的不同病变。这一发展的重要前提是技术设备的改进、经鼻手术通道的定义以及鼻内重建技术的进步,例如使用带蒂鼻黏膜瓣。已经组建了跨学科手术团队,形成了“鼻神经外科”的专业中心。随着这些团队经验的不断积累,结果表明,肿瘤治疗效果和围手术期并发症与传统手术相当,同时患者的发病率可以降低。本综述涵盖了近期文献,重点关注“鼻神经外科”的发展、技术细节、治疗结果和并发症。