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颅底内镜解剖学。

Endoscopic Anatomy of the Skull Base.

机构信息

Department of Neurosurgery, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand.

Department of Otolaryngology and Head-Neck Surgery, Faculty of Medicine, Tanta University Hospital, Tanta, Egypt.

出版信息

Adv Tech Stand Neurosurg. 2024;52:29-61. doi: 10.1007/978-3-031-61925-0_4.

Abstract

Presently, endoscopic skull base surgery has undergone significant advancements since its inception over two decades ago. Nevertheless, it is imperative to underscore that the fundamental basis of all surgical procedures lies in the meticulous understanding of anatomy, with particular emphasis on the ventral anatomy. This facet has recently garnered increased attention.Following the advancements in endoscopic skull base surgery techniques, this chapter will concentrate on the pertinent anatomical considerations that serve as key foundations for successful procedures. These considerations are categorized into two planes: the sagittal plane and the coronal plane.The sagittal plane is further subdivided into five distinct approaches, namely,(1) the transcribriform approach, (2) the transplanum approach, (3) the transsellar approach, (4) the transclival approach, and (5) the transodontoid approach.On the other hand, the coronal plane is delineated into seven specific zones to facilitate comprehension and potential applications: (1) the petrous apex approach, (2) the intrapetrous approach, (3) the suprapetrous approach, (4) the cavernous sinus approach, (5) the infratemporal approach, (6) the medial condyle approach, and (7) the jugular foramen approach.By organizing the anatomical aspects in this systematic manner, the information provided becomes more accessible, fostering a comprehensive understanding of the subject matter for potential future application.

摘要

目前,内镜颅底外科自二十多年前创立以来已经取得了重大进展。然而,必须强调的是,所有手术的基本基础都在于对解剖结构的精细理解,特别是对颅底前侧的理解。这一方面最近引起了更多的关注。

随着内镜颅底外科技术的进步,本章将集中讨论相关的解剖学考虑因素,这些因素是成功手术的关键基础。这些考虑因素分为两个平面:矢状面和冠状面。

矢状面进一步细分为五个不同的入路,分别为:(1)经筛板入路,(2)经蝶骨平台入路,(3)经鞍上入路,(4)经斜坡入路,和(5)经齿状突后入路。

另一方面,冠状面被划分为七个特定的区域,以方便理解和潜在的应用:(1)岩尖入路,(2)岩内入路,(3)岩上入路,(4)海绵窦入路,(5)颞下窝入路,(6)内髁入路,和(7)颈静脉孔入路。

通过以这种系统的方式组织解剖学方面的信息,提供的信息变得更容易获取,有助于全面理解主题,以备将来潜在应用。

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