Gassner H G, Schebesch K-M
Universitätsklinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie der Universität Regensburg (Direktor: Prof. Dr. med. J. Strutz).
Universitätsklinik und Poliklinik für Neurochirurgie der Universität Regensburg (Direktor: Prof. Dr. med. A. Brawawnski).
Laryngorhinootologie. 2015 Mar;94 Suppl 1:S288-305. doi: 10.1055/s-0034-1398644. Epub 2015 Apr 10.
Minimally invasive approaches are becoming increasingly popular to access the anterior skull base. With interdisciplanary cooperation, endonasal endoscopic in particular approaches have seen an impressive expansion of indications over the past decades. The more recently described transorbital approaches represent minimally invasive alternatives with a differing spectrum of access corridors. The purpose of the present paper is to discuss transorbital approaches to the anterior skull base in the light of the current literature.The transorbital approaches allow excellent exposure of difficult to reach areas like the the anterior and posterior wall of the frontal sinus; working angles may be more favorable and the paranasal sinus system can be preserved while exposing the base of skull. Because of their minimal morbidity and the cosmetically excellent results, the transorbital approaches represent an important addition to established endonasal endoscopic and open approaches to the anterior skull base. Their execution requires an interdisciplinary team approach.
微创入路在进入前颅底方面正变得越来越流行。通过多学科合作，尤其是鼻内镜入路在过去几十年里适应证有了显著扩展。最近描述的经眶入路是具有不同入路通道范围的微创替代方法。本文的目的是根据当前文献讨论经眶入路至前颅底的情况。经眶入路能够很好地暴露如额窦前壁和后壁等难以到达的区域；工作角度可能更有利，并且在暴露颅底时可保留鼻窦系统。由于其发病率极低且美容效果极佳，经眶入路是对已有的鼻内镜和开放入路至前颅底方法的重要补充。其实施需要多学科团队协作。
