经鼻内镜入路至蝶窦外侧隐窝。
Endoscopic endonasal access to the lateral recess of the sphenoid sinus.
机构信息
Department of Neurosurgery, La Pitié-Salpêtrière Hospital, AP-HP, Sorbonne University, 47-83 Boulevard de l'Hôpital, 75013, Paris, France.
CNRS, INSERM, Institut Cochin, Université Paris Cité, F-75014, Paris, France.
出版信息
Acta Neurochir (Wien). 2023 Dec;165(12):4113-4119. doi: 10.1007/s00701-023-05856-4. Epub 2023 Oct 27.
BACKGROUND
The standard endoscopic endonasal approach gives access to the median sphenoid sinus, but not to its lateral part. We propose an endoscopic technique for lesions in the lateral sphenoid sinus.
METHOD
Based on our experience with 28 patients, we have developed a less invasive approach to the lateral recess of the sphenoid sinus, limiting the opening of the maxillary sinus while avoiding resection of the inferior turbinate and ethmoidal cells. The technique is described.
CONCLUSION
The proposed endoscopic approach is reliable and safe to treat CSF leak or tumours located within the lateral recess of the sphenoid sinus.
背景
标准的经鼻内镜手术入路可以进入蝶窦的正中部位，但无法到达其侧方。我们提出一种内镜下治疗蝶窦外侧壁病变的技术。
方法
基于我们对 28 例患者的经验，我们开发了一种对蝶窦外侧隐窝的微创入路，在避免切除下鼻甲和筛窦的同时限制上颌窦的开放。技术描述如下。
结论
所提出的内镜入路对于治疗位于蝶窦外侧隐窝的脑脊液漏或肿瘤是可靠和安全的。
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