[扩大经鼻内镜下经斜坡入路治疗斜坡区及颅后窝腹侧肿瘤。第2部分。局部解剖及手术技术]
[Extended endoscopic endonasal posterior (transclival) approach to tumors of the clival region and ventral posterior cranial fossa. Part 2. Topographic and anatomical aspects and surgical technique].
作者信息
Shkarubo A N, Koval' K V, Dobrovol'skiy G F, Shkarubo M A, Polev G A, Andreev D N, Chernov I V, Karnaukhov V V, Gadzhieva O A
机构信息
Burdenko Neurosurgical Institute, Moscow, Russia.
Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology, and Immunology, Moscow, Russia.
出版信息
Zh Vopr Neirokhir Im N N Burdenko. 2017;81(5):17-30. doi: 10.17116/neiro201781517-30.
PURPOSE
to present the main topographic and anatomical features of the clivus and adjacent structures for improving and optimizing the extended endoscopic transnasal posterior (transclival) approach in removal of clival and ventral posterior cranial fossa lesions.
MATERIAL AND METHODS
We performed a topographic and anatomical study of 25 cadaver heads, the vascular bed of which was filled with colored silicone using the original technique for visualizing the bed features and individual variability.
RESULTS
We present the main anatomical landmarks necessary for performing the extended endoscopic endonasal posterior approach. Superior, medial, and inferior transclival approaches provide access to the anterior surface of the upper, middle, and lower neurovascular complexes of the posterior cranial fossa.
CONCLUSION
The endoscopic transclival approach can be used to reach ventral posterior cranial fossa lesions. The endoscopic transnasal transclival approach is an alternative to transcranial approaches to clival lesions.
目的
介绍斜坡及相邻结构的主要局部解剖特征，以改进和优化扩大经鼻内镜后路（经斜坡）入路，用于切除斜坡及颅后窝腹侧病变。
材料与方法
我们对25个尸头进行了局部解剖学研究，采用原始技术用彩色硅胶填充其血管床，以观察血管床特征和个体差异。
结果
我们展示了进行扩大经鼻内镜后路入路所需的主要解剖标志。经斜坡上、中、下入路可进入颅后窝上、中、下神经血管复合体的前表面。
结论
内镜经斜坡入路可用于到达颅后窝腹侧病变。内镜经鼻经斜坡入路是治疗斜坡病变的经颅入路的一种替代方法。
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