Friedman R A, Pensak M L, Tauber M, Tew J M, van Loveren H R
Department of Otolaryngology Head and Neck Surgery, University of Cincinnati College of Medicine, Ohio 45267, USA.
Laryngoscope. 1997 Jul;107(7):977-83. doi: 10.1097/00005537-199707000-00027.
Aneurysms of the basilar artery are uncommon. Historically, because of the central location of these basilar lesions, surgical access has been difficult. Moreover, while this disease and its surgical management inherently carry a high risk of patient morbidity, the presence of neighboring vital neural and vascular structures introduces additional intraoperative challenges. Since 1986 we have employed a transpetrous approach for access to selective aneurysms involving the basilar artery. Removal of the petrous apex has provided an expanded deep window through which infraclinoidal basilar artery aneurysms can be controlled. Reported herein are our results utilizing an anterior petrosectomy approach to the management of infraclinoidal artery aneurysms.
基底动脉动脉瘤并不常见。从历史上看，由于这些基底病变位于中枢位置，手术入路一直很困难。此外，虽然这种疾病及其手术治疗本身就具有较高的患者发病风险，但邻近重要神经和血管结构的存在给术中带来了额外的挑战。自1986年以来，我们采用经岩骨入路来处理累及基底动脉的选择性动脉瘤。切除岩尖提供了一个扩大的深部视野，通过该视野可以控制床突下基底动脉动脉瘤。本文报告了我们采用前岩骨切除术治疗床突下动脉动脉瘤的结果。
