Jang Saemchan, Eom Ki Seong
Department of Neurosurgery, Wonkwang University School of Medicine, Iksan, Korea.
Korean J Neurotrauma. 2024 Jun 4;20(2):108-112. doi: 10.13004/kjnt.2024.20.e15. eCollection 2024 Jun.
The past decade has witnessed rapid advancements in various surgical techniques for the clivus and surrounding structures. However, effective treatment of this region still poses significant challenges for neurosurgeons. The advent of endoscopic surgical procedure has reshaped skull base surgery in recent years. We present the rare case of a 67-year-old male gunshot victim who underwent endoscopic endonasal removal of a bullet lodged in the anterior lower clivus. The patient did not receive prophylactic antibiotic therapy. Based on this case, we propose that the endonasal endoscopic approach is highly advantageous for removing foreign bodies from the clivus. Furthermore, intraoperative navigation facilitates rapid lesion identification and reduces the surgical duration.
在过去十年中，针对斜坡及周围结构的各种外科技术取得了快速进展。然而，对该区域进行有效治疗仍然给神经外科医生带来重大挑战。近年来，内镜手术的出现重塑了颅底外科手术。我们报告了一例罕见病例，一名67岁男性枪伤受害者接受了内镜下经鼻取出嵌顿在前下斜坡的子弹。该患者未接受预防性抗生素治疗。基于此病例，我们认为经鼻内镜入路在从斜坡取出异物方面具有高度优势。此外，术中导航有助于快速识别病变并缩短手术时间。
