内镜经鼻颅底硬膜外后方岩斜切除术：进入鞍后和上斜坡区的关键操作。
Endoscopic endonasal extradural posterior clinoidectomy: A key maneuver to access the retrosellar and upper retroclival area.
机构信息
Department of Neurosurgery, Lausanne University Hospital, Lausanne, Switzerland.
Department of Neurosurgery, Neuromed, Pozzilli, Italy.
出版信息
J Clin Neurosci. 2024 Nov;129:110866. doi: 10.1016/j.jocn.2024.110866. Epub 2024 Oct 17.
BACKGROUND
Endoscopic endonasal posterior clinoidectomy represents an important maneuver to improve access and visualization of the retrosellar and upper clivus area [1]. Three different techniques have been described in order to access and remove the posterior clinoid: 1) the intradural pituitary transposition [2], the interdural pituitary transposition [3] and a completely extradural technique [4].
CASE DESCRIPTION
We present here a case of retrosellar and retroclival chordoma that has been removed through endoscopic endonasal approach. Technical nuances of the endonasal extradural posterior clinoidectomy are presented.
CONCLUSION
Endoscopic endonasal extradural posterior clinoidectomy allows to access this complex anatomical region with the advantage of avoiding major bleeding from the cavernous sinus and endocrinological impairment.
背景
经鼻内镜颅底后床突切除术是改善鞍后和颅颈交界区显露的重要手段[1]。为了进入和切除颅底后床突，已经描述了三种不同的技术：1）经硬膜内垂体移位[2]、经硬膜外垂体移位[3]和完全经硬膜外技术[4]。
病例描述
我们在此介绍一例通过经鼻内镜入路切除鞍后和斜坡脊索瘤的病例。本文介绍了经鼻内镜硬膜外颅底后床突切除术的技术要点。
结论
经鼻内镜硬膜外颅底后床突切除术可以进入这个复杂的解剖区域，避免了海绵窦大出血和内分泌功能障碍的风险。
Zotero 插件