Jarmula Jakub, de Andrade Erion Junior, Kshettry Varun R, Recinos Pablo F
Department of Neurological Surgery, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.
Section of Skull Base Surgery, Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Neurological Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Brain Sci. 2022 Oct 3;12(10):1337. doi: 10.3390/brainsci12101337.
Skull base surgery has undergone significant progress following key technological developments. From early candle-lit devices to the modern endoscope, refinements in visualization techniques have made endoscopic skull base surgery (ESBS) a standard practice for treating a variety of conditions. The endoscope has also been integrated with other technologies to enhance visualization, including fluorescence agents, intraoperative neuronavigation with augmented reality, and the exoscope. Endoscopic approaches have allowed neurosurgeons to reevaluate skull base neuroanatomy from new perspectives. These advances now serve as the foundation for future developments in ESBS. In this narrative review, we discuss the history and development of ESBS, current visualization techniques, and future innovations.
随着关键技术的发展，颅底手术取得了显著进展。从早期的烛光设备到现代内窥镜，可视化技术的改进使内窥镜颅底手术（ESBS）成为治疗多种病症的标准做法。内窥镜还与其他技术相结合以增强可视化效果，包括荧光剂、术中增强现实神经导航和外部显示器。内窥镜手术方法使神经外科医生能够从新的角度重新评估颅底神经解剖结构。这些进展现在为ESBS未来的发展奠定了基础。在这篇叙述性综述中，我们讨论了ESBS的历史与发展、当前的可视化技术以及未来的创新。
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