Turgut S, Gumusalan Y, Arifoglu Y, Sinav A
Ankara Numune Hospital, Samanpazari, Turkey.
J Otolaryngol. 1996 Dec;25(6):371-4.
Functional endoscopic sinus surgery has become popularized during the last decade all over the world. Knowledge about the intricate anatomy of the nasal cavity, the ethmoid labyrinth, and related structures is of vital importance for the endoscopic sinus surgeon to avoid probable complications. This study was undertaken to provide a set of reference distances to the endoscopic surgeons.
In this surgical anatomic study, the distances of special anatomic landmarks from the anterior nasal spine were measured during the endoscopic dissection. The procedure was performed in 50 cadavers and measurements were done by the use of straight surgical guide under endoscopic vision.
Optimum attention should be concentrated on vital structures such as optic nerve and internal carotid artery at posterior rhinobasis after approximately 75 mm. Surgical distances of critical anatomic landmarks on the lateral nasal wall from anterior nasal spine should be kept in mind during surgical interventions.
功能性内镜鼻窦手术在过去十年中已在全球范围内普及。对于内镜鼻窦外科医生来说，了解鼻腔、筛窦迷路及相关结构的复杂解剖知识对于避免可能的并发症至关重要。本研究旨在为内镜外科医生提供一组参考距离。
在这项手术解剖学研究中，在内镜解剖过程中测量了特殊解剖标志与前鼻棘之间的距离。该操作在50具尸体上进行，测量是在内镜视野下使用直的手术导向器完成的。
在鼻后基底约75毫米处之后，应特别关注诸如视神经和颈内动脉等重要结构。在手术干预过程中，应牢记外侧鼻壁上关键解剖标志与前鼻棘之间的手术距离。
