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经鼻内镜入路至颅颈交界区

Endoscopic endonasal approach to the craniovertebral junction.

作者信息

Halderman Ashleigh A, Barnett Samuel L

机构信息

Department of Otolaryngology Head and Neck Surgery University of Texas Southwestern Medical Center Dallas Texas USA.

Department of Neurological Surgery University of Texas Southwestern Medical Center Dallas Texas USA.

出版信息

World J Otorhinolaryngol Head Neck Surg. 2022 Mar 14;8(1):16-24. doi: 10.1002/wjo2.8. eCollection 2022 Mar.

DOI:10.1002/wjo2.8
PMID:35619929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9126158/
Abstract

The surgical approach to lesions of the ventral craniovertebral junction (CVJ) has evolved significantly in the last several years with the advent of endoscopic skull base surgery. Differing pathologies of the CVJ can result in irreducible compression of the cervicomedullary region. The endoscopic endonasal approach lends itself well to this region due to the ventral location, and while there is a steep learning curve, is a safe and effective way to perform decompression of the cervicomedullary region. Herein, we discuss the anatomy of the CVJ, preoperative evaluation and surgical considerations, our surgical approach, complications, and outcomes.

摘要

在过去几年中，随着内镜颅底手术的出现，腹侧颅颈交界区（CVJ）病变的手术入路有了显著进展。CVJ的不同病理情况可导致颈髓区域不可缓解的压迫。由于腹侧位置，内镜鼻内入路非常适合该区域，尽管学习曲线较陡，但它是对颈髓区域进行减压的一种安全有效的方法。在此，我们讨论CVJ的解剖结构、术前评估和手术注意事项、我们的手术入路、并发症及结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/7fd2201c3b0e/WJO2-8-16-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/4575dcefc43b/WJO2-8-16-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/fe0ddffe864c/WJO2-8-16-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/ac1fa95b7cd1/WJO2-8-16-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/bb5656d70ec8/WJO2-8-16-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/be78cb04964a/WJO2-8-16-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/4f48c45b0b91/WJO2-8-16-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/bdd22349344f/WJO2-8-16-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/7fd2201c3b0e/WJO2-8-16-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/4575dcefc43b/WJO2-8-16-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/fe0ddffe864c/WJO2-8-16-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/ac1fa95b7cd1/WJO2-8-16-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/bb5656d70ec8/WJO2-8-16-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/be78cb04964a/WJO2-8-16-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/4f48c45b0b91/WJO2-8-16-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/bdd22349344f/WJO2-8-16-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe9/9126158/7fd2201c3b0e/WJO2-8-16-g008.jpg

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