筋膜下解剖和颞肌延长分离用于中颅窝入路。
Subfascial dissection and extended temporal muscle detachment for middle fossa approach.
机构信息
Department of Neurosurgery, The Ohio State University Wexner Medical Center, Doan Hall N 1049, 460 W 10Th Ave, Columbus, OH, 43210, USA.
Department of Otolaryngology and Skull Base Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
出版信息
Acta Neurochir (Wien). 2023 Nov;165(11):3473-3477. doi: 10.1007/s00701-022-05483-5. Epub 2023 Jan 10.
BACKGROUND
The soft tissue dissection for the middle fossa approach requires adequate management of the neuro, vascular, and muscular structures in order to maximize exposure and diminish morbidities.
METHODS
An incision anterior to the tragus is performed, extending from the zygomatic process to the superior temporal line. The superior temporal artery is exposed, followed by a subfascial dissection of the frontalis nerve. The temporal muscle is dissected and released from the zygoma. All cranial landmarks are exposed for the 5 × 5 cm temporal fossa craniotomy.
CONCLUSION
This novel approach provides a safe and adequate access to perform an extended middle fossa craniotomy.
背景
中颅窝入路的软组织解剖需要对神经、血管和肌肉结构进行充分的管理，以最大限度地暴露并减少并发症。
方法
在耳屏前做一个切口，从颧骨延伸到颞上线。暴露颞浅动脉，然后在额肌筋膜下解剖面神经。将颞肌从颧骨上解剖并游离。所有颅神经标志都暴露出来，以便进行 5×5 厘米的颞骨开颅术。
结论
这种新方法提供了一种安全、充分的方法来进行扩大的中颅窝开颅术。
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