Brand Yves, Waran Vicknes, Zulkiflee Abu Bakar, Lim Elizabeth, Prepageran Narayanan
Department of Otorhinolaryngology, University Malaya Medical Centre , Kuala Lumpur , Malaysia.
Department of Neurosurgery, University of Malaya Medical Centre , Kuala Lumpur , Malaysia.
Front Surg. 2015 Jul 21;2:32. doi: 10.3389/fsurg.2015.00032. eCollection 2015.
The skull base is one of the most complex anatomical regions and forms the floor of the cranial cavity. Skull base surgery involves open, microscopic, and endoscopic approaches to the anterior, middle, or posterior cranial fossa. A multispecialty team approach is essential in treating patients with skull base lesions. Traditionally, rhinologists are involved in providing access to anterior skull base lesions while otologists are involved in the treatment of lesions of the posterior skull base. This is the case in most skull base centers today. In this article, we share a new perspective of an integrated skull base unit where a team of otolaryngologists and neurosurgeons treat anterior, middle, and posterior skull base pathologies. The rationale for this approach is that most technical skills required in skull base surgery are interchangeable and apply whether an endoscopic or microscopic approach is used. We show how the different skills apply to the different approaches and share our experience with an integrated skull base unit.
颅底是最复杂的解剖区域之一，构成颅腔的底部。颅底手术包括对前颅窝、中颅窝或后颅窝采用开放、显微和内镜入路。多学科团队协作对于治疗颅底病变患者至关重要。传统上，鼻科医生负责处理前颅底病变，而耳科医生负责治疗后颅底病变。如今大多数颅底中心都是这种情况。在本文中，我们分享一种综合颅底单元的新视角，即由一组耳鼻喉科医生和神经外科医生共同治疗前、中、后颅底病变。这种方法的基本原理是，颅底手术所需的大多数技术技能是可互换的，无论采用内镜还是显微入路均可应用。我们展示了不同技能如何应用于不同入路，并分享我们在综合颅底单元方面的经验。
