...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Neurosurgery >Vidian Nerve Transposition for Endoscopic Endonasal Middle Fossa Approaches
【24h】

Vidian Nerve Transposition for Endoscopic Endonasal Middle Fossa Approaches

机译：内镜下鼻中窝窝入路的Vidian神经移位

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

The vidian nerve is a landmark for safe identification of the petrous internal carotid artery during endonasal endoscopic approaches (EEAs) to the skull base. The surgical technique classically described involves sacrifice of the nerve. OBJECTIVE: To demonstrate the feasibility of vidian nerve transposition during EEA. METHODS: After exposure of the vidian canal aperture, the bone is removed along its inferior and medial aspect. Once the depth is understood, determining the position of the internal carotid artery, the bone superior to the vidian nerve is drilled. The vidian nerve can then be transposed from its canal and retracted superiorly, allowing the drill to come inferiorly and to remove the bone lateral to the nerve, finalizing freedom around the vidian nerve.RESULTS: Four patients underwent EEA with vidian transposition. Case illustration: a 20-year-old woman presented with partial numbness on the left side of the face and some tingling in the face, particularly inside her mouth. Magnetic resonance imaging scans demonstrated a Meckel cave tumor compatible with a left-side trigeminal schwannoma. EEA to the Meckel cave was performed and the vidian nerve was transposed. The tumor was totally resected and the vidian nerve preserved. The patient was discharged home in 2 days, stating improvement in facial sensation without new neurological deficits and denying dry eye. The patient was asymptomatic at the 9-month follow-up. None of the 4 patients who underwent this procedure complained of dry eye during the postoperative period.CONCLUSION: The vidian nerve transposition for EEAs to the skull base is an alternative technique that is feasible and conservative. It seems to be a good option that could prove beneficial to the quality of life of patients after surgery.
机译：dian神经是在鼻内窥镜下（EEA）到达颅底的过程中安全识别颈内动脉的标志。经典地描述的外科手术技术包括神经的牺牲。目的：证明在EEA期间进行dian神经移位的可行性。方法：暴露管腔小孔后，沿其上下内侧去除骨骼。一旦了解了深度，确定了颈内动脉的位置，便会钻出高于the神经的骨骼。然后，可以将管神经从其管中移置并向上收回，从而使钻头从下方进入，并去除神经外侧的骨，从而最终确定了管神经周围的自由度。结果：四名患者接受了经管移位的EEA。病例说明：一名20岁的女性，左侧脸部有些麻木，脸上有些刺痛，特别是在嘴里。磁共振成像扫描显示与左侧三叉神经鞘瘤兼容的Meckel洞穴肿瘤。进行了EEA到Meckel洞穴的手术，并转移了dian神经。肿瘤被完全切除，并保留了dian神经。患者在两天内出院，说明面部感觉得到改善，没有新的神经系统缺陷，也没有干眼症。该患者在9个月的随访中无症状。结论：4例患者均无术后干眼症状。结论：将EEAs经dian神经移位至颅底是一种可行且保守的替代技术。这似乎是一个很好的选择，可以证明对手术后患者的生活质量有益。

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