Stokken Janalee K, Halderman Ashleigh, Recinos Pablo F, Woodard Troy D, Sindwani Raj
Department of Otolaryngology, Head and Neck Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Section of Rhinology, Sinus and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue/A71, Cleveland, OH 44195, USA.
Otolaryngol Clin North Am. 2016 Feb;49(1):131-40. doi: 10.1016/j.otc.2015.09.008.
The nasal cavity has a robust vascular supply, and bleeding is a primary obstacle to the minimally invasive skull base technique. Venous bleeding, including the cavernous sinus, can be managed with various techniques using hemostatic materials and pressure. A thorough understanding of the skull base vascular anatomy is vital for avoiding injury to major arteries and having confidence to control venous bleeding to optimize the endoscopic view and tumor resection.
鼻腔有丰富的血管供应，出血是微创颅底技术的主要障碍。包括海绵窦在内的静脉出血，可以通过使用止血材料和压迫的各种技术来处理。全面了解颅底血管解剖结构对于避免损伤主要动脉以及有信心控制静脉出血以优化内镜视野和肿瘤切除至关重要。
