Nunes Renato Hoffmann, Abello Ana Lorena, Zanation Adam M, Sasaki-Adams Deanna, Huang Benjamin Y
Department of Radiology, University of North Carolina at Chapel Hill, 101 Manning Drive, CB#7510, Chapel Hill, NC 27599, USA; Division of Neuroradiology, Fleury Medicina e Saúde, Santa Casa de Misericórdia de São Paulo, Rua Cincinato Braga, 282, Bela Vista, São Paulo, São Paulo 01333-910, Brazil; Santa Casa de Misericórdia de São Paulo, Serviço de Diagnostico por Imagem, Rua Dr. Cesário Motta Junior 112, Vila Buarque, São Paulo, São Paulo 01221-020, Brazil.
Department of Radiology, University of North Carolina at Chapel Hill, 101 Manning Drive, CB#7510, Chapel Hill, NC 27599, USA; Department of Radiology, Universidad del Valle, Calle 13#100-00 Cali, Valle del Cauca, Colombia.
Otolaryngol Clin North Am. 2016 Feb;49(1):33-62. doi: 10.1016/j.otc.2015.09.003.
Endoscopic endonasal approaches have widely accepted techniques for managing benign and malignant processes along the entire ventral skull base with similar or better results compared with open procedures, but with lower rates of complication. Managing pathology affecting the skull base can be challenging because of complex anatomy and the proximity of critical neurovascular structures. Postoperative imaging can be challenging, because of surgical alterations of normal anatomy and the now common use of complex reconstruction techniques. Understanding the normal imaging appearance of skull base reconstruction is important for accurate postoperative interpretation and delineation between normal reconstructive tissue and recurrent neoplasm.
鼻内镜鼻内入路已成为处理整个腹侧颅底良性和恶性病变的广泛接受的技术，与开放手术相比，其效果相似或更好，但并发症发生率更低。由于解剖结构复杂以及关键神经血管结构位置接近，处理影响颅底的病变可能具有挑战性。术后成像也可能具有挑战性，这是因为正常解剖结构发生了手术改变，且现在复杂重建技术的使用很普遍。了解颅底重建的正常影像表现对于术后准确解读以及区分正常重建组织和复发性肿瘤很重要。
