儿童广泛颅纤维发育不良的双侧视交叉和视神经显微减压术：我的操作方法。
Bilateral chiasm and optic nerve micro-decompression in a child with extensive cranial fibrous dysplasia: how I do it.
机构信息
Department of Pediatric Neurosurgery, Virgen del Rocío University Hospital, Av. Manuel Siurot, S/N, 41013, Seville, Spain.
Group of Applied Neuroscience, Biomedicine Institute of Seville, Seville, Spain.
出版信息
Acta Neurochir (Wien). 2022 Jun;164(6):1485-1491. doi: 10.1007/s00701-021-05036-2. Epub 2021 Oct 29.
BACKGROUND
Surgical decompression to the optic-chiasmatic region in craneofacial fibrous dysplasia (CFD) must be performed safely to improve or stabilize visual loss.
METHOD
We describe a technical nuance when facing on a huge, deformed skull with potentially imbricated dura mater. Craniectomy was performed in concentric arches allowing to expose surgical field and elevated step by step. Bilateral micro-decompression was performed after without difficulties.
CONCLUSIONS
Decompressing both optic nerves using this technique is safe and relatively simple to perform.
背景
颅面纤维结构不良（CFD）对视神经管区域进行手术减压，必须安全进行，以改善或稳定视力丧失。
方法
我们描述了一种技术细节，当面对一个巨大的、变形的颅骨，可能有重叠的硬脑膜时。采用同心圆颅切除术，逐步暴露手术区域并逐步抬起。然后顺利地完成了双侧微减压。
结论
使用这种技术对双侧视神经进行减压是安全且相对简单的。
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