...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Anatomical and computed tomographic analysis of the transcochlear and endoscopic transclival approaches to the petroclival region
【24h】

Anatomical and computed tomographic analysis of the transcochlear and endoscopic transclival approaches to the petroclival region

机译：对岩浆区的转基因和内镜转发方法的解剖学和计算断层分析

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objectives/Hypothesis Advances in the field of skull base surgery aim to maximize anatomical exposure while minimizing patient morbidity. The petroclival region of the skull base presents numerous challenges for surgical access due to the complex anatomy. The transcochlear approach to the region provides adequate access; however, the resection involved sacrifices hearing and results in at least a grade 3 facial palsy. An endoscopic endonasal approach could potentially avoid negative patient outcomes while providing a desirable surgical window in a select patient population. Study Design Cadaveric study. Methods Endoscopic access to the petroclival region was achieved through an endonasal approach. For comparison, a transcochlear approach to the clivus was performed. Different facets of the dissections, such as bone removal volume and exposed surface area, were computed using computed tomography analysis. Results The endoscopic endonasal approach provided a sufficient corridor to the petroclival region with significantly less bone removal and nearly equivalent exposure of the surgical target, thus facilitating the identification of the relevant anatomy. The lateral approach allowed for better exposure from a posterolateral direction until the inferior petrosal sinus; however, the endonasal approach avoided labyrinthine/cochlear destruction and facial nerve manipulation while providing an anteromedial viewpoint. The endonasal approach also avoided external incisions and cosmetic deficits. The endonasal approach required significant sinonasal resection. Conclusions Endoscopic access to the petroclival region is a feasible approach. It potentially avoids hearing loss, facial nerve manipulation, and cosmetic damage.
机译：头骨基础手术领域的目标/假设进展旨在最大限度地提高解剖学暴露，同时最大限度地减少患者发病率。由于复杂的解剖学，颅底的岩石血管基区域对手术进入具有许多挑战。该地区的Transcochlear方法提供了足够的访问;然而，切除术涉及牺牲听力并导致至少一个第3级面部麻痹。内窥镜型内外方法可能避免在选择患者群体中提供所需的外科窗口的同时避免阴性患者结果。研究设计尸体研究。方法通过型胎儿方法实现对储层区域的内窥镜接近。为了比较，进行涵盖的转基因方法。使用计算机断层扫描分析计算诸如骨移除体积和暴露表面积的剖析的不同方面。结果内镜下的内切肌肌肉方法为储层区域提供了足够的走廊，具有显着较低的骨移除和对手术目标的几乎等同的暴露，从而促进了相关解剖学的鉴定。侧向方法允许更好地从后侧方向暴露，直到下岩石窦;然而，避免了陀螺素/耳蜗破坏和面神经操纵，同时提供了主题观点。 indoNARAL方法还避免了外部切口和美容缺陷。 indoNasal方法需要显着的Sinonasal切除。结论内镜下进入岩浆地区是一种可行的方法。它可能避免听力损失，面部神经操纵和化妆品损伤。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号