前内侧颅底病变的颅上锁孔入路：我是怎么做的

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY Acta Neurochirurgica Pub Date : 2024-07-31 DOI:10.1007/s00701-024-06202-y

Toshiaki Inomo, Kenichiro Iwami, Tadashi Watanabe, Koji Osuka

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引用次数: 0

摘要

背景：对于颅前窝（ACF）前内侧部分的微创治疗方法，最好在ACF后外侧部分进行小切口开颅手术：方法：我们描述了使用外窥镜和内窥镜治疗 ACF 病变的颅上锁孔入路（SPKA）的概念和技术：结论：SPKA 可从侧面观察 ACF；内窥镜的扩展观察角度可观察 ACF 的前内侧部分，包括双侧嗅沟。由于避免了面部皮肤和头皮的大切口，这种方法可有效治疗 ACF 病变。

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Suprapterional keyhole approach for anteromedial skull base lesions: How I do it.

Background: For a minimally invasive treatment approach to the anteromedial part of the anterior cranial fossa (ACF), a small incision and craniotomy of the posterolateral part of the ACF are preferable.

Method: We described the concept and technique of suprapterional keyhole approach (SPKA), which uses an exoscope and endoscope to treat ACF lesions.

Conclusion: The SPKA enables ACF observation from the lateral direction; the endoscope's extended viewing angles enable the observation of the anteromedial part of the ACF, including the bilateral olfactory groove. Facial skin and large scalp incisions are avoided, making this approach efficient for ACF lesions.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.