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前交通动脉瘤双额开颅术中嗅束的保留及其功能预后

Preservation of the olfactory tract in bifrontal craniotomy for anterior communicating artery aneurysms, and the functional prognosis.

作者信息

Suzuki J, Yoshimoto T, Mizoi K

出版信息

J Neurosurg. 1981 Mar;54(3):342-5. doi: 10.3171/jns.1981.54.3.0342.

DOI:10.3171/jns.1981.54.3.0342
PMID:7463134
Abstract

Results of surgical treatment of anterior communicating artery aneurysms, approached via bifrontal craniotomy, are reported in 110 cases. It was possible to preserve the olfactory tracts bilaterally or unilaterally in over 65% of these cases: 47% with bilateral preservation and 34% with unilateral preservation; 33% of the patients with bilateral olfactory tract damage reported subjectively normal olfactory. Objective examination of olfaction by an otolaryngologist showed that 84% of the patients reporting normal olfaction did indeed have normal olfaction, whereas 91% of these reporting no olfaction were anosmic.

摘要

报告了110例经双额开颅术治疗前交通动脉瘤的手术结果。在这些病例中,超过65%的患者能够双侧或单侧保留嗅束:47%双侧保留,34%单侧保留;33%双侧嗅束受损的患者主观上报告嗅觉正常。耳鼻喉科医生对嗅觉进行的客观检查表明,报告嗅觉正常的患者中84%确实嗅觉正常,而报告无嗅觉的患者中91%为嗅觉缺失。

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引用本文的文献

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Horizontal distance of anterior communicating artery aneurysm neck from anterior clinoid process is critically important to predict postoperative complication in clipping via pterional approach.前交通动脉动脉瘤颈与前床突的水平距离对于预测经翼点入路夹闭术后并发症至关重要。
Surg Neurol Int. 2017 Aug 22;8:200. doi: 10.4103/sni.sni_169_17. eCollection 2017.
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Olfactory preservation during anterior interhemispheric approach for anterior skull base lesions: technical note.
前颅底病变经前纵裂入路时的嗅觉保留:技术说明
Neurosurg Rev. 2016 Jan;39(1):63-8; discussion 69. doi: 10.1007/s10143-015-0647-x. Epub 2015 Jul 17.
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Fronto-basal interhemispheric approach for craniopharyngiomas extending outside the suprasellar cistern.用于鞍上池外扩展的颅咽管瘤的额底跨半球入路
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