Department of Neurosurgery, Uonuma Kikan Hospital, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Niigata, 949-7302, Japan.
Acta Neurochir (Wien). 2022 Dec;164(12):3303-3310. doi: 10.1007/s00701-022-05394-5. Epub 2022 Oct 20.
Neurosurgical cottonoids (also known as neurosurgical patties, pads, or micropatties) have been commonly used in microsurgical procedures to protect the surface of the brain, nerves, and vasculature and to aspirate blood, flushing solution, and cerebrospinal fluid. This article describes the unique applications of cottonoids in endoscopic transsphenoidal adenomectomy (eTSA).
Several sizes of cottonoids have been used in eTSA to enhance safe surgical procedures and clear the operative field. The roles of cottonoids in eTSA are divided into three types: to serve as view-ensuring devices, to protect tissue, and to function as instruments or assist with the use of other instruments.
Appropriate cottonoid use provides a well-visualized operative field, allows easy identification of bleeding areas, enables effective adenoma detachment from the cleavage layer (tumour-hypophysis interface), and permits sensitive procedures to be performed around critical structures.
To achieve safe and successful neurovascular-hypophysis-protective eTSA, cottonoids play an effective role in every type of eTSA procedure, in various applications, performed under higher-resolution endoscopic vision.
神经外科棉片（也称为神经外科饼、垫或微饼）在显微手术中被广泛用于保护脑、神经和血管表面，以及抽吸血液、冲洗液和脑脊液。本文描述了棉片在经鼻蝶窦入路切除术（eTSA）中的独特应用。
在 eTSA 中使用了几种尺寸的棉片，以增强安全的手术程序并清除手术视野。棉片在 eTSA 中的作用分为三种类型：用作确保视野的装置、保护组织以及用作器械或协助使用其他器械。
适当的棉片使用提供了一个可视化良好的手术视野，便于识别出血区域，使腺瘤从分裂层（肿瘤-垂体界面）有效分离，并允许在关键结构周围进行敏感的手术。
为了实现安全和成功的神经血管-垂体保护 eTSA，棉片在各种类型的 eTSA 程序中、在更高分辨率的内镜视野下的各种应用中，都发挥了有效的作用。
