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[小脑脑桥角扩大经颞入路的手术解剖学指南]

[Surgical anatomy guidelines for the extended transtemporal approach to the cerebellopontile angle].

作者信息

Aurbach G, Wigand M E

机构信息

Klinik und Poliklinik für Hals-, Nasen-, Universität Erlangen-Nürnberg.

出版信息

HNO. 1987 Sep;35(9):381-9.

PMID:3499425
Abstract

The extended middle fossa approach to the cerebello-pontine angle was practiced in ten human temporal bones, and the topographical relations of essential structures were studied by exposure of the bony labyrinth. After identification of the greater superficial petrosal nerve and the grey line of the superior semicircular canal landmarks were defined in order to localize the vertical crest (Bill's bar), the ampulla of the superior semicircular canal, the intralabyrinthine part of the facial nerve, the cochlea, and the internal carotid artery. The advantages of the extended middle fossa approach for the preservation of the labyrinthine and cochlear structures together with the safe identification of the facial and cochleo-vestibular nerves are emphasized.

摘要

在十具人类颞骨上实施了经扩大中颅窝入路至桥小脑角的操作,并通过暴露骨迷路来研究重要结构的局部解剖关系。在识别出岩大浅神经和上半规管的灰线后,确定地标以定位垂直嵴(比尔棒)、上半规管壶腹、面神经的迷路内部分、耳蜗和颈内动脉。强调了扩大中颅窝入路在保留迷路和耳蜗结构以及安全识别面神经和蜗神经前庭神经方面的优势。

相似文献

1
[Surgical anatomy guidelines for the extended transtemporal approach to the cerebellopontile angle].[小脑脑桥角扩大经颞入路的手术解剖学指南]
HNO. 1987 Sep;35(9):381-9.
2
Image-guided, endoscopic-assisted drilling and exposure of the whole length of the internal auditory canal and its fundus with preservation of the integrity of the labyrinth using a retrosigmoid approach: a laboratory investigation.采用乙状窦后入路,在内镜辅助下,行影像引导下的钻孔,暴露整个内耳道及其底部,同时保持迷路的完整性:一项实验室研究。
Neurosurgery. 2009 Dec;65(6 Suppl):53-9; discussion 59. doi: 10.1227/01.NEU.0000343521.88537.16.
3
Topographical anatomy of the internal auditory canal. Implications for functional surgery in the cerebello-pontine angle.内耳道的局部解剖学。对桥小脑角功能性手术的启示。
Acta Otolaryngol. 1991;111(2):269-72. doi: 10.3109/00016489109137386.
4
Using the processus cochleariformis as a multipurpose landmark in middle cranial fossa surgery.将耳蜗iformis突用作中颅窝手术中的多功能标志。
J Laryngol Otol. 2009 Feb;123(2):163-9. doi: 10.1017/S0022215108002697. Epub 2008 May 20.
5
[The enlarged trans-labyrinthine approach of House. The use of this method in the surgical treatment of cerebello-pontine angle tumours (author's transl)].
Ann Otolaryngol Chir Cervicofac. 1979 Mar;96(3):113-32.
6
Retrolabyrinthine surgery: anatomy and pathology.迷路后手术:解剖学与病理学
Am J Otol. 1986 Jan;7(1):29-33.
7
[Removal of acoustic neuromas of the cerebellopontile angle with transtemporal approach by the middle cranial fossa].
HNO. 1985 Jan;33(1):11-6.
8
[Re: "Subtemporal approach using the House method compared to that of Wigand's in meatal cerebellopontile angle tumors type A"].[关于“与Wigand法相比,采用House法的颞下入路治疗A型内耳道小脑桥脑角肿瘤”]
Laryngorhinootologie. 2005 Jan;84(1):68.
9
The middle fossa transpetrous approach to the anterior-superior cerebellopontine angle.
Am J Otol. 1986 Jan;7(1):1-4.
10
Retrosigmoid intradural suprameatal approach: advantages and disadvantages from an anatomical perspective.乙状窦后硬膜内听道上入路:解剖学视角下的优缺点
Neurosurgery. 2006 Jul;59(1 Suppl 1):ONS1-6; discussion ONS1-6. doi: 10.1227/01.NEU.0000220673.79877.30.

引用本文的文献

1
Extended middle cranial fossa approach for acoustic neuroma surgery.用于听神经瘤手术的扩大中颅窝入路
Skull Base Surg. 1991;1(3):183-7. doi: 10.1055/s-2008-1057004.
2
Experiences at the Timone Hospital, Marseille in acoustic neuroma surgery.马赛蒂莫内医院听神经瘤手术的经验。
Arch Otorhinolaryngol. 1989;246(5):297-8. doi: 10.1007/BF00463579.