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Anatomy of the petrous apex as related to the endoscopic endonasal approach

机译:与内窥镜鼻内入路相关的岩顶的解剖

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摘要

The endoscopic endonasal approach (EEA) has been reported to be an efficient approach for treating lesions of the petrous apex. However, there have been only limited anatomic studies for the EEA. Furthermore, most of the relevant distances for EEA cannot be measured easily on a cadaveric skull. Two fresh adult cadaver heads and five formalin-fixed adult cadaver heads were dissected using the EEA to identify groups of landmarks for safe guidance during this approach. The distances between these landmarks were then measured by CT angiography by using three-dimensional software. The EEA to the petrous apex can be divided into five phases. In each phase, a group of landmarks, rather than a single landmark, can be identified easily for guiding the next phase of the approach. There was no significant difference between males and females in any of the distances reported in the present study. The EEA can be performed to manage a petrous apex lesion more safely by referring to multiple landmarks and the distances between them.
机译:内窥镜鼻内入路(EEA)已被报道是治疗岩尖的病变的有效方法。然而,对于EEA只有很少的解剖学研究。此外,在尸体头骨上无法轻松测量EEA的大多数相关距离。使用EEA解剖了两个新鲜的成年尸体头和五个用福尔马林固定的成年尸体头,以识别一组地标,以在此方法中进行安全指导。然后使用三维软件通过CT血管造影术测量这些界标之间的距离。岩心顶点的EEA可分为五个阶段。在每个阶段中,可以轻松地标识一组路标,而不是单个路标,以指导方法的下一阶段。在本研究报告的任何距离上,男性和女性之间均无显着差异。通过参考多个界标及其之间的距离,可以更安全地执行EEA,以管理岩心尖顶病变。

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