我是这样做的：经鼻内镜颅底海绵窦内侧壁切除术。
How I do it: Endoscopic endonasal resection of the medial wall of the cavernous sinus.
机构信息
Department of Neurological Surgery, Hospital Virgen Del Rocío, Avenida Manuel Siurot S/N, 41013, Seville, Spain.
Department of Neurological Surgery, Hospital Ramón y Cajal, Madrid, Spain.
出版信息
Acta Neurochir (Wien). 2024 Jul 16;166(1):298. doi: 10.1007/s00701-024-06177-w.
BACKGROUND
Resection of the medial wall of the cavernous sinus (MWCSR) is a growing surgical maneuver for the radical removal of pituitary adenomas.
METHOD
We present a simple modification of the technique following the two dural layers of the floor of the sella turcica, allowing for early identification of the medial wall and simplifying dissection. We support this technique with an anatomical analysis on cadaveric specimens and clarifying dissection images.
CONCLUSION
Recognition and dissection of the dural unfolding of the floor of the sella turcica are "key points" that lower the risk and facilitate the MWCSR.
背景
海绵窦内侧壁切除术（MWCSR）是一种日益成熟的手术操作，可用于彻底切除垂体腺瘤。
方法
我们对该技术进行了简单的改良，沿着鞍底硬脑膜的两层进行操作，可早期识别内侧壁并简化分离步骤。我们在尸体标本上进行了解剖学分析，并提供了清晰的解剖图像来支持该技术。
结论
识别和分离鞍底硬脑膜的展开是降低风险和简化 MWCSR 的“关键点”。
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