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揭开“三点法”的神秘面纱:额眶前移术的技术细节

Demystifying the "Triple Point: " Technical Nuances of the Fronto-Orbital Advancement.

作者信息

Lopez Christopher D, Kumar Anand, Lin Alexander Y, Bonfield Christopher M, Weinzweig Jeffrey, Naidich Thomas, Smith Christopher M, Taub Peter J

机构信息

Icahn School of Medicine at Mount Sinai, New York, NY.

Department of Plastic and Reconstructive Surgery, Case Western Reserve University School of Medicine, Cleveland, OH.

出版信息

J Craniofac Surg. 2018 May;29(3):796-799. doi: 10.1097/SCS.0000000000004147.

DOI:10.1097/SCS.0000000000004147
PMID:29489569
Abstract

Removal of the fronto-orbital bandeau is one of the most critical components for procedures designed to correct anomalies of the craniofacial skeleton and remodel the anterior calvarial vault. It is also used to improve exposure of the anterior cranial fossa. It is arguably one of the more difficult portions of some craniofacial procedures. While the technique for fronto-orbito-sphenoid osteotomy has been frequently described, it has only been minimally detailed. Separation of bone in this region remains challenging due to the bone thickness, adjacent vital structures, and limited direct visibility. The present paper describes the anatomy of this particular region, which the authors have termed the "triple point", to facilitate successful osteotomy and avoid potential injury.

摘要

切除额眶带是旨在矫正颅面骨骼异常和重塑前颅顶穹窿的手术中最关键的步骤之一。它还用于改善前颅窝的暴露程度。可以说,这是一些颅面手术中较困难的部分之一。虽然额眶蝶骨截骨术的技术已被频繁描述,但细节却很少。由于该区域的骨厚度、相邻的重要结构以及有限的直接可视性,在此区域分离骨仍然具有挑战性。本文描述了作者称之为“三点”的这个特定区域的解剖结构,以促进成功的截骨术并避免潜在损伤。

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