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The expanding role of endoscopic skull base surgery

机译：内镜颅底手术的扩展作用

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The endoscopic endonasal approach (EEA) is a surgical technique where a small aperture, the nostrils, can give access to the whole ventral skull base. Its principles differ from the ones of traditional skull base approaches where a wide external opening is often accompanied by a relatively small working area. Most of the results of EEAs published in the literature come from retrospective case series and the follow-up is still limited, however the consensus is that this technique is safe and effective in selected cases and when performed within dedicated skull base centres. This article sets to give an overview of the current state of endoscopic skull base surgery, based on the recent evidence and our centre's experience with nearly 2000 EEAs. The team's experience with endoscopic as well as open approaches plays a critical role in achieving satisfactory results when treating pathologies of the skull base. Guided by the principle of least neural and vascular manipulation, the team should be able to select the least traumatic route (open or endoscopic) and be able to approach the skull base from all angles.
机译：内窥镜鼻腔入路（EEA）是一种外科手术技术，其中的小孔（鼻孔）可以进入整个腹侧颅底。它的原理与传统的颅骨基底方法不同，传统的颅骨基底方法通常具有较大的外部开口并带有相对较小的工作区域。文献中发表的EEA的大多数结果来自回顾性病例系列，但随访仍然有限，但是共识是，该技术在特定病例中以及在专门的颅骨中心进行时是安全有效的。本文基于最近的证据和我们中心近2000个EEA的经验，概述了内窥镜颅底手术的当前状态。该团队在治疗颅底病变时在内镜和开放式手术方面的经验在获得令人满意的结果方面起着至关重要的作用。根据最少的神经和血管操作原则，研究小组应能够选择创伤最小的方法（开放或内窥镜检查），并能够从各个角度接近颅骨基部。

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