使用球囊辅助鼻腔入路扩大鼻内镜经蝶窦入路：病例说明
Use of balloon-assisted nasal access to augment endoscopic endonasal transsphenoidal approach: illustrative case.
作者信息
Winslow Nolan, Garst Jonathan, Klemens James J, Tsung Andrew J
机构信息
1Department of Neurosurgery, OSF Saint Francis Medical Center, Peoria, Illinois; and.
2Department of Otolaryngology, Peoria Ear, Nose, & Throat Center, Peoria, Illinois.
出版信息
J Neurosurg Case Lessons. 2022 Sep 5;4(10). doi: 10.3171/CASE22276.
BACKGROUND
Pituitary adenoma is a neurosurgical pathology commonly resected via endoscopic endonasal approach. Septal and nasal passage anatomy can affect the surgical corridor and may require septoplasty or other techniques for expansion.
OBSERVATIONS
The authors presented a case of pituitary macroadenoma with septal deviation with use of balloon-assisted nasal access for surgery.
LESSONS
This technique enhanced surgical width of field and instrument maneuverability via septal medialization for successful tumor resection.
背景
垂体腺瘤是一种常通过鼻内镜经鼻入路切除的神经外科病变。鼻中隔和鼻道解剖结构会影响手术通道，可能需要进行鼻中隔成形术或其他扩张技术。
观察结果
作者介绍了一例伴有鼻中隔偏曲的垂体大腺瘤病例，采用球囊辅助鼻入路进行手术。
经验教训
该技术通过鼻中隔内移增加了手术视野宽度和器械可操作性，从而成功切除肿瘤。
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