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首页> 外文期刊>Journal of neurosurgical sciences >Endoscopic trans-sphenoidal surgery for petroclival and clival meningiomas
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Endoscopic trans-sphenoidal surgery for petroclival and clival meningiomas

机译:用于Petroclivallival和临床脑膜炎的内窥镜杂环术手术

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摘要

Petroclival meningiomas are challenging lesions to manage independently of the selected surgical approach and are unique tumors in the type of pathological displacement of the surrounding anatomy. They also represent one of the most controversial entities with regard to approach selection, especially when deciding between an open versus endonasal route. When choosing an approach to the intradural portion of the petroclival region, the location of critical neurovascular structures relative to the lesion must be anticipated, including the abducens and trigeminal nerves. The role of the expanded endoscopic endonasal approach (EEA) in the management of ventral posterior fossa meningiomas is still restricted due to limited surgical indications in selected cases. It is a safe alternative for the rare cases of meningiomas with most part of its dural base at the midline clival region, and it may be used as solely or combination of other approaches. Thus, appropriate case selection may optimize the advantages of the approach and reduce morbidity of this complex pathology. We discuss in this review article the main advantages and limitations of the EEA for clival and petroclival meningiomas.
机译:Petroclival Meningiomas是挑战性病变,可以独立于所选择的手术方法管理,并且是周围解剖学的病理位移类型的独特肿瘤。它们还代表了接近选择的最具争议的实体之一,特别是在确定开放与内切途径之间时。在选择储层区域的内部内部的接近部分时,必须预期相对于病变的关键神经血管结构的位置,包括ABDUCENS和三叉神经。由于所选病例中的手术适应症有限,扩增的内镜型脑膜炎方法(EEA)的作用仍然受到限制。它是一种安全的脑膜炎癌症患者,其在中线综合区的大部分内部底座,并且可以单独使用或组合其他方法。因此,适当的案例选择可以优化方法的优点并降低这种复杂病理的发病率。我们在本篇文章中讨论了综合植物和Petroclival脑膜瘤的主要优点和局限性。

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