颅底内窥镜解剖。

Jonathan A Tangsrivimol, Moataz D Abouammo, Daniel M Prevedello
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引用次数: 0

摘要

目前,内窥镜颅底手术自二十多年前诞生以来已取得了长足的进步。然而,必须强调的是,所有外科手术的根本基础都在于对解剖学的细致了解,尤其是腹腔解剖学。随着内窥镜颅底手术技术的发展,本章将集中讨论作为成功手术关键基础的相关解剖学注意事项。这些考虑因素可分为两个平面:矢状面和冠状面。矢状面又可细分为五种不同的方法,即(1) 经蝶骨入路,(2) 经平面入路,(3) 经髌骨入路,(4) 经颅骨入路和(5) 经蝶骨入路。另一方面,为了便于理解和潜在应用,冠状面被划分为七个特定区域:(1) 叶状顶入路;(2) 叶状内入路;(3) 叶状上入路;(4) 海绵窦入路;(5) 颞下入路;(6) 内侧髁入路;(7) 颈静脉孔入路。通过这种系统化的方式组织解剖方面的内容,所提供的信息变得更易于理解,促进了对该主题的全面了解,为将来的潜在应用提供了可能。
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Endoscopic Anatomy of the Skull Base.

Presently, endoscopic skull base surgery has undergone significant advancements since its inception over two decades ago. Nevertheless, it is imperative to underscore that the fundamental basis of all surgical procedures lies in the meticulous understanding of anatomy, with particular emphasis on the ventral anatomy. This facet has recently garnered increased attention.Following the advancements in endoscopic skull base surgery techniques, this chapter will concentrate on the pertinent anatomical considerations that serve as key foundations for successful procedures. These considerations are categorized into two planes: the sagittal plane and the coronal plane.The sagittal plane is further subdivided into five distinct approaches, namely,(1) the transcribriform approach, (2) the transplanum approach, (3) the transsellar approach, (4) the transclival approach, and (5) the transodontoid approach.On the other hand, the coronal plane is delineated into seven specific zones to facilitate comprehension and potential applications: (1) the petrous apex approach, (2) the intrapetrous approach, (3) the suprapetrous approach, (4) the cavernous sinus approach, (5) the infratemporal approach, (6) the medial condyle approach, and (7) the jugular foramen approach.By organizing the anatomical aspects in this systematic manner, the information provided becomes more accessible, fostering a comprehensive understanding of the subject matter for potential future application.

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