Folbe Adam J, Svider Peter F, Liu James K, Eloy Jean Anderson
Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, 4201 St. Antoine, 5E-UHC, Detroit, MI 48201, USA; Department of Neurosurgery, Wayne State University School of Medicine, 4201 St. Antoine, 5E-UHC, Detroit, MI 48201, USA.
Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, 4201 St. Antoine, 5E-UHC, Detroit, MI 48201, USA.
Otolaryngol Clin North Am. 2017 Apr;50(2):315-329. doi: 10.1016/j.otc.2016.12.008.
Surgical management of clival lesions presents numerous therapeutic challenges because of the close proximity of surrounding critical structures. With a detailed understanding of the endoscopic endonasal approach and relevant considerations, appropriate lesions can be removed in a safe and minimally invasive manner. Use of this technique as a primary approach represents the standard of care for many lesions at leading skull base centers, although adjunct techniques may be necessary in extensive lesions and those with significant lateral extension.
由于斜坡病变周围关键结构距离很近，其外科治疗面临众多挑战。通过详细了解鼻内镜经鼻入路及相关注意事项，可安全、微创地切除合适的病变。尽管对于广泛病变和有明显外侧扩展的病变可能需要辅助技术，但将该技术作为主要入路是许多领先颅底中心对多种病变的治疗标准。
