Lucas Joshua W, Zada Gabriel
Department of Neurosurgery, Keck School of Medicine at USC, Suite 3300, Los Angeles, CA 90033, USA.
Neuro-Oncology and Endoscopic Pituitary/Skull Base Program, USC Pituitary Center, USC Radiosurgery Center, Keck School of Medicine of USC, Los Angeles, CA, USA.
Neurosurg Clin N Am. 2016 Apr;27(2):207-14. doi: 10.1016/j.nec.2015.11.008. Epub 2016 Feb 18.
The resection of anterior skull base meningiomas has traditionally been performed via pterional or unilateral/bilateral subfrontal craniotomies. The supraorbital keyhole approach and the endoscopic endonasal approach, techniques in which the endoscope is used to aid visualization, were developed to provide alternative, less-invasive approaches to aid the resection of these tumors. The individual characteristics of each tumor, such as location and size, are the main determinants guiding the choice of approach. In this article, the advantages and disadvantages of each approach are discussed, along with complications specific to each technique. Furthermore, a detailed procedural description of each surgical approach is described.
传统上，前颅底脑膜瘤的切除是通过翼点入路或单侧/双侧额下入路进行的。眶上锁孔入路和内镜鼻内入路是在内窥镜辅助可视化的技术基础上发展而来的，旨在提供替代的、侵入性较小的方法来辅助这些肿瘤的切除。每个肿瘤的个体特征，如位置和大小，是指导手术入路选择的主要决定因素。在本文中，将讨论每种入路的优缺点以及每种技术特有的并发症。此外，还将详细描述每种手术入路的操作过程。
