• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

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.

DOI:10.1007/978-3-031-61925-0_4
PMID:39017785
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。

相似文献

1
Endoscopic Anatomy of the Skull Base.颅底内镜解剖学。
Adv Tech Stand Neurosurg. 2024;52:29-61. doi: 10.1007/978-3-031-61925-0_4.
2
Visualization of Dark Side of Skull Base with Surgical Navigation and Endoscopic Assistance: Extended Petrous Rhomboid and Rhomboid with Maxillary Nerve-Mandibular Nerve Vidian Corridor.手术导航和内镜辅助下颅底黑暗面的可视化:扩展的岩枕部和岩枕部,以及上颌神经-下颌神经翼管。
World Neurosurg. 2019 Sep;129:e134-e145. doi: 10.1016/j.wneu.2019.05.062. Epub 2019 May 17.
3
Endonasal endoscopic approaches to the paramedian skull base.经鼻内镜颅底旁正中入路。
World Neurosurg. 2014 Dec;82(6 Suppl):S121-9. doi: 10.1016/j.wneu.2014.07.036.
4
Surgical Anatomy for the Endoscopic Endonasal Approach to the Ventrolateral Skull Base.经鼻内镜入路至颅底腹外侧的手术解剖学
Neurol Med Chir (Tokyo). 2017 Oct 15;57(10):534-541. doi: 10.2176/nmc.ra.2017-0039. Epub 2017 Aug 25.
5
Infraorbital nerve: a surgically relevant landmark for the pterygopalatine fossa, cavernous sinus, and anterolateral skull base in endoscopic transmaxillary approaches.眶下神经:经上颌窦内镜入路中翼腭窝、海绵窦和颅前窝外侧底的手术相关解剖标志
J Neurosurg. 2016 Dec;125(6):1460-1468. doi: 10.3171/2015.9.JNS151099. Epub 2016 Mar 4.
6
Comparative analysis of surgical freedom and angle of attack of two minimal-access endoscopic transmaxillary approaches to the anterolateral skull base.两种微创内镜经上颌窦入路至前外侧颅底的手术自由度和攻击角度的比较分析
World Neurosurg. 2014 Sep-Oct;82(3-4):e487-93. doi: 10.1016/j.wneu.2013.02.003. Epub 2013 Feb 6.
7
Endoscopic transorbital approach to anterolateral skull base through inferior orbital fissure: a cadaveric study.经眶下单侧眶下裂入路内镜前外侧颅底解剖学研究
Acta Neurochir (Wien). 2019 Sep;161(9):1919-1929. doi: 10.1007/s00701-019-03993-3. Epub 2019 Jun 29.
8
Endoscopic endonasal clip ligation of cerebral aneurysms: an anatomical feasibility study and future directions.内镜下经鼻夹闭脑动脉瘤:解剖学可行性研究及未来方向
J Neurosurg. 2016 Feb;124(2):463-8. doi: 10.3171/2015.1.JNS142650. Epub 2015 Jul 31.
9
What are the limits of endoscopic sinus surgery?: the expanded endonasal approach to the skull base.鼻内镜鼻窦手术的局限性是什么?:扩大经鼻入路至颅底。
Keio J Med. 2009 Sep;58(3):152-60. doi: 10.2302/kjm.58.152.
10
Fully endoscopic transnasal approach to the jugular foramen: anatomic study and clinical considerations.经鼻内镜入路至颈静脉孔:解剖学研究与临床思考。
Neurosurgery. 2010 Sep;67(3 Suppl Operative):ons1-7; discussion ons7-8. doi: 10.1227/01.NEU.0000354351.00684.B9.

本文引用的文献

1
The Pterygosphenoidal Triangle: Surgical Anatomy and Case Series in Endoscopic Endonasal Skull Base Surgery.
Oper Neurosurg. 2023 Jun 1;24(6):619-629. doi: 10.1227/ons.0000000000000627. Epub 2023 Apr 7.
2
The medial wall of the cavernous sinus. Part 1: Surgical anatomy, ligaments, and surgical technique for its mobilization and/or resection.海绵窦内侧壁。第1部分:手术解剖、韧带以及其游离和/或切除的手术技术。
J Neurosurg. 2019 Jul 1;131(1):122-130. doi: 10.3171/2018.3.JNS18596. Epub 2018 Sep 7.
3
Bilateral coagulation of inferior hypophyseal artery and pituitary transposition during endoscopic endonasal interdural posterior clinoidectomy: do they affect pituitary function?内镜下经鼻硬膜间后床突切除术期间垂体下动脉的双侧凝固和垂体移位:它们会影响垂体功能吗?
J Neurosurg. 2019 Jul 1;131(1):141-146. doi: 10.3171/2018.2.JNS173126. Epub 2018 Aug 3.
4
Surgical Anatomy for the Endoscopic Endonasal Approach to the Ventrolateral Skull Base.经鼻内镜入路至颅底腹外侧的手术解剖学
Neurol Med Chir (Tokyo). 2017 Oct 15;57(10):534-541. doi: 10.2176/nmc.ra.2017-0039. Epub 2017 Aug 25.
5
A morphometric survey of the parasellar region in more than 2700 skulls: emphasis on the middle clinoid process variants and implications in endoscopic and microsurgical approaches.超过 2700 个头颅的鞍旁区形态测量学研究:重点是中间床突变异及其在神经内镜和显微手术入路中的意义。
J Neurosurg. 2018 Jul;129(1):60-70. doi: 10.3171/2017.2.JNS162114. Epub 2017 Aug 11.
6
Anatomical nuances of the internal carotid artery in relation to the quadrangular space.颈内动脉与四方形间隙相关的解剖学细微差别。
J Neurosurg. 2018 Jan;128(1):174-181. doi: 10.3171/2016.10.JNS16381. Epub 2017 Feb 24.
7
Endonasal endoscopic approaches to the paramedian skull base.经鼻内镜颅底旁正中入路。
World Neurosurg. 2014 Dec;82(6 Suppl):S121-9. doi: 10.1016/j.wneu.2014.07.036.
8
A road map to the internal carotid artery in expanded endoscopic endonasal approaches to the ventral cranial base.扩大经鼻内镜入路至颅底腹侧时颈内动脉的路线图。
Neurosurgery. 2014 Sep;10 Suppl 3:448-71; discussion 471. doi: 10.1227/NEU.0000000000000362.
9
Endoscopic endonasal transpterygoid approaches: anatomical landmarks for planning the surgical corridor.经鼻内镜经翼突入路:手术通道规划的解剖学标志。
Laryngoscope. 2013 Apr;123(4):811-5. doi: 10.1002/lary.23697.
10
The medial opticocarotid recess: an anatomic study of an endoscopic "key landmark" for the ventral cranial base.中视神经颈动脉隐窝:内镜下颅底腹侧的一个“关键解剖标志”的解剖学研究。
Neurosurgery. 2013 Mar;72(1 Suppl Operative):66-76; discussion 76. doi: 10.1227/NEU.0b013e318271f614.