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眶脑膜束作为一种无血经海绵窦解剖和前床突切除术的方法。

The Orbitomeningeal Band as a Way to Bloodless Transcavernous Dissection and Anterior Clinoidectomy.

作者信息

Cherian Iype, Kasper Ekkehard M, Agarwal Amit

机构信息

Department of Neurosurgery, College of Medical sciences, Bharatpur, Chitwan, Nepal.

Department of Neurosurgery, Harvard Medical School and Director of Neurosurgical Oncology at BIDMC, Boston/MA, USA.

出版信息

Asian J Neurosurg. 2018 Jul-Sep;13(3):943-945. doi: 10.4103/ajns.AJNS_198_16.

DOI:10.4103/ajns.AJNS_198_16
PMID:30283589
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6159013/
Abstract

The meningo-orbital band (MOB) is a dural fold which runs along the lateral border of the superior orbital fissure and contains few small dural veins and the orbitomeningeal artery. MOB detachment is relatively easy to understand step-wise procedure, provides a wider exposure, and better orientation thus facilitating relatively easy approach to paraclinoid and cavernous sinus region. The present microsurgical technique helps to preserve the true cavernous membrane and thereby providing almost bloodless dissection of the cavernous sinus. The same technique can be used to uncover the anterior clinoid process laterally, posteriorly, superiorly, and also in the inferolateral region thereby decreasing the risk and time of clinoidectomy.

摘要

脑膜眶带(MOB)是一种硬脑膜皱襞,沿眶上裂外侧缘走行,包含少量小的硬脑膜静脉和眶脑膜动脉。MOB分离是一种相对容易理解的分步操作,能提供更广泛的暴露和更好的定位,从而便于相对容易地到达床突旁和海绵窦区域。目前的显微外科技术有助于保留真正的海绵窦膜,从而实现海绵窦几乎无血的解剖。同样的技术可用于从外侧、后方、上方以及下外侧区域显露前床突,从而降低床突切除术的风险和时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86fc/6159013/443ba6fcd5e6/AJNS-13-943-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86fc/6159013/e2caa2389b6c/AJNS-13-943-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86fc/6159013/7b7931c33761/AJNS-13-943-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86fc/6159013/926fda51e002/AJNS-13-943-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86fc/6159013/1bd59c623a94/AJNS-13-943-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86fc/6159013/443ba6fcd5e6/AJNS-13-943-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86fc/6159013/e2caa2389b6c/AJNS-13-943-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86fc/6159013/7b7931c33761/AJNS-13-943-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86fc/6159013/926fda51e002/AJNS-13-943-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86fc/6159013/1bd59c623a94/AJNS-13-943-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86fc/6159013/443ba6fcd5e6/AJNS-13-943-g005.jpg

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本文引用的文献

1
The Meningo-Orbital Band: Microsurgical Anatomy and Surgical Detachment of the Membranous Structures through a Frontotemporal Craniotomy with Removal of the Anterior Clinoid Process.脑膜-眶带:经额颞开颅并切除前床突对膜性结构进行显微外科解剖及手术分离
J Neurol Surg B Skull Base. 2014 Apr;75(2):125-32. doi: 10.1055/s-0033-1359302. Epub 2013 Dec 11.
2
Anterior clinoidectomy.前床突切除术。
Acta Neurochir (Wien). 2014 Feb;156(2):415-9; discussion 419. doi: 10.1007/s00701-013-1960-1. Epub 2013 Dec 10.
3
Meningeal layers around anterior clinoid process as a delicate area in extradural anterior clinoidectomy : anatomical and clinical study.
前床突周围脑膜层在硬膜外前床突切除术中作为一个精细区域的解剖学和临床研究
J Korean Neurosurg Soc. 2012 Oct;52(4):391-5. doi: 10.3340/jkns.2012.52.4.391. Epub 2012 Oct 22.
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Anatomical variations and morphometric study of the optic strut and the anterior clinoid process.视神经管突和前床突的解剖变异和形态测量研究。
Bosn J Basic Med Sci. 2012 May;12(2):88-93. doi: 10.17305/bjbms.2012.2502.
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Complications of anterior clinoidectomy through lateral supraorbital approach.经外侧眶上入路行前床突切除术的并发症。
World Neurosurg. 2012 May-Jun;77(5-6):698-703. doi: 10.1016/j.wneu.2011.08.014. Epub 2011 Nov 7.
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The interperiosteo-dural concept applied to the perisellar compartment: a microanatomical and electron microscopic study.应用于鞍旁间隙的骨膜-硬脑膜概念:一项显微解剖和电子显微镜研究。
J Neurosurg. 2010 Nov;113(5):1045-52. doi: 10.3171/2010.1.JNS081701. Epub 2010 Feb 12.
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Refinement of the extradural anterior clinoidectomy: surgical anatomy of the orbitotemporal periosteal fold.硬膜外前床突切除术的改进:眶颞骨膜皱襞的手术解剖学
Neurosurgery. 2007 Nov;61(5 Suppl 2):179-85; discussion 185-6. doi: 10.1227/01.neu.0000303215.76477.cd.
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Anatomical variations in pneumatization of the anterior clinoid process.前床突气化的解剖变异
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Anatomical study of the superior orbital fissure as seen during a pterional approach.翼点入路中所见眶上裂的解剖学研究。
J Neurosurg. 2007 Jan;106(1):151-6. doi: 10.3171/jns.2007.106.1.151.
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Enhanced exposure of carotico-oculomotor triangle following extradural anterior clinoidectomy: a comparative anatomical study.硬膜外前床突切除术后颈内动脉-动眼神经三角暴露范围的扩大:一项比较解剖学研究
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