内镜颅底肿瘤手术中的手术通道

Ahmed A Karim, Rowan Nicholas R, Mukherjee Debraj

Department of Neurosurgery, Johns Hopkins Medical Institutions, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA.

Department of Otolaryngology, Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA.

Brain Sci. 2024 Feb 23;14(3):207. doi: 10.3390/brainsci14030207.

Advances in technology, instrumentation, and reconstruction have paved the way for extended endoscopic approaches to skull base tumors. In the sagittal plane, the endonasal approach may safely access pathologies from the frontal sinus to the craniocervical junction in the sagittal plane, the petrous apex in the coronal plane, and extend posteriorly to the clivus and posterior cranial fossa. This review article describes these modular extended endoscopic approaches, along with crucial anatomic considerations, illustrative cases, and practical operative pearls.

技术、器械和重建技术的进步为扩大内镜治疗颅底肿瘤铺平了道路。在矢状面上，经鼻入路可安全地处理矢状面从额窦到颅颈交界、冠状面从岩尖的病变，并向后延伸至斜坡和后颅窝。这篇综述文章描述了这些模块化的扩大内镜入路，以及关键的解剖学注意事项、典型病例和实用的手术技巧。