Raheja Amol, Couldwell William T
Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 North Medical Drive East, Salt Lake City, UT 84132, USA.
Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 North Medical Drive East, Salt Lake City, UT 84132, USA.
Otolaryngol Clin North Am. 2017 Apr;50(2):365-383. doi: 10.1016/j.otc.2016.12.011.
Cavernous sinus (CS) involvement by sinonasal and ventral skull base malignancies is infrequently encountered in neurosurgical practice. Despite advancements in skull base microneurosurgery and endoscopic techniques, detailed knowledge and experience of the surgical management of these lesions are limited. This article elaborates on surgical strategies and approaches for CS involvement of malignant ventral skull base tumors. The article discusses the indications, techniques, nuances, advantages, limitations, and complications of minimally invasive CS biopsy, transcranial microscopic, and transfacial endoscopic approaches to the CS using illustrative diagrams and operative videos. The principles and nuances of a high-flow cerebral revascularization procedure are mentioned.
鼻窦和颅底腹侧恶性肿瘤累及海绵窦（CS）在神经外科实践中并不常见。尽管颅底显微神经外科和内镜技术有所进步，但对这些病变手术治疗的详细知识和经验仍然有限。本文详细阐述了颅底腹侧恶性肿瘤累及海绵窦的手术策略和方法。文章使用示意图和手术视频讨论了微创海绵窦活检、经颅显微镜和经面内镜入路至海绵窦的适应证、技术、细微差别、优势、局限性及并发症。文中还提及了高流量脑血运重建手术的原则和细微差别。
