Department of Neurosurgery, Monash Health, Melbourne, Australia.
Department of Ear, Nose and Throat Surgery, Monash Health, Melbourne, Australia.
World Neurosurg. 2021 Dec;156:111-119. doi: 10.1016/j.wneu.2021.09.103. Epub 2021 Oct 2.
Knowledge of anatomy and its variations is the key to safe and efficient surgery. The endoscopic endonasal route to the sella has evolved to become the preferred route to access a wide variety of diseases. We describe the skeletal, vascular, and neural anatomic variations that could be encountered from the nasal phase, through the sphenoid phase, to the sellar phase of the operative exposure. A preoperative checklist is also provided.
解剖学知识及其变异是安全高效手术的关键。经鼻内镜进入鞍区的方法已经发展成为广泛应用于各种疾病的首选入路。我们描述了在手术暴露的鼻腔期、蝶骨期到鞍区期可能遇到的骨骼、血管和神经解剖变异。同时还提供了术前检查表。
