Chibbaro Salvatore, Ganau Mario, Cebula Helene, Nannavecchia Beniamino, Todeschi Julien, Romano Antonio, Debry Christian, Proust Francois, Olivi Alessandro, Gaillard Stephane, Visocchi Massimiliano
Department of Neurosurgery, Strasbourg University Hospital, Strasbourg, France.
Department of Neurosurgery, Parma University Hospital, Parma, Italy.
Acta Neurochir Suppl. 2019;125:187-195. doi: 10.1007/978-3-319-62515-7_28.
Supported by preliminary anatomical and clinical studies exploring the feasibility and usefulness of approaching many ventral pathologies of the craniocervical junction (CCJ) using the endoscopic endonasal approach, four European centres have joined forces to accumulate and share their growing surgical experience of this advanced technique. By describing the steps that led to the development and continuous refinement of this approach to the CCJ, this article delves deeply into an analysis of the cases operated on since 2010 at these four institutions, and discusses in detail the operative nuances that so far have allowed achievement of successful outcomes with excellent perioperative patient comfort and satisfactory long-term quality of life.
在初步的解剖学和临床研究支持下，这些研究探索了使用鼻内镜经鼻入路处理颅颈交界区（CCJ）多种腹侧病变的可行性和实用性，四个欧洲中心联合起来，积累并分享他们在这种先进技术方面不断增长的手术经验。通过描述导致这种CCJ入路发展和持续完善的步骤，本文深入分析了自2010年以来在这四个机构进行手术的病例，并详细讨论了迄今为止能够实现成功手术结果、让患者围手术期舒适度极佳且长期生活质量令人满意的手术细微差别。
