首页> 外文期刊>Minimally invasive neurosurgery: MIN >A minimally invasive endoscopic transsphenoidal approach with an endonasal septal pushover technique by using a modified nasal speculum.
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A minimally invasive endoscopic transsphenoidal approach with an endonasal septal pushover technique by using a modified nasal speculum.

机译:一种微创内窥镜经蝶窦入路,采用改良的鼻镜,采用鼻中隔推翻技术。

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摘要

Whereas the endoscopic endonasal transsphenoidal approach has been applied in patients with pituitary lesions as a potentially efficacious and less invasive surgical technique, the sinonasal step of a series of the surgical procedures is generally not well known to neurosurgeons. This is one of the reasons why the endoscopic technique has not been fully been adopted as a routine surgical procedure approaching towards the sella. The present paper describes the technical details of a purely endoscopic approach using an endonasal septal pushover technique. We also present a newly designed nasal speculum specialized for this endoscopic endonasal technique. As compared to the endoscopic endonasal approach previously reported, the surgical procedure required for sphenoidotomy with the aid of the modified speculum was simplified and thereby less time-consuming. This technique has been performed in 40 patients with several types of pituitary lesions. All patients recovered rapidly without significant rhinological complications. Despite a limited number of cases, our experience suggests that this simplified endoscopic technique could encourage a more routine use of endoscopes in the endonasal approach for pituitary lesions.
机译:内窥镜经鼻蝶窦入路术已被应用在垂体病变患者中作为一种潜在的有效且侵入性较小的外科手术技术,但神经外科医师通常不知道一系列外科手术的鼻窦步骤。这是为什么未完全采用内镜技术作为接近蝶鞍的常规外科手术程序的原因之一。本文介绍了使用鼻中隔推入技术的纯内镜方法的技术细节。我们还介绍了专门为此内窥镜鼻内窥镜技术设计的一种新设计的鼻窥镜。与先前报道的内窥镜鼻腔入路相比,简化的蝶镜切开术需要借助改良的窥镜进行手术,从而减少了耗时。这项技术已在40位患有几种垂体病变的患者中进行。所有患者均迅速康复,无明显流变并发症。尽管病例数量有限,但我们的经验表明,这种简化的内窥镜检查技术可能会鼓励在垂体病变的鼻内窥镜检查中更常规地使用内窥镜。

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