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首页> 外文期刊>Neurosurgical focus >Norman Dott, Gerard Guiot, and Jules Hardy: Key players in the resurrection and preservation of transsphenoidal surgery
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Norman Dott, Gerard Guiot, and Jules Hardy: Key players in the resurrection and preservation of transsphenoidal surgery

机译：诺曼·多特（Norman Dott），杰拉德·吉奥（Gerard Guiot）和朱尔斯·哈迪（Jules Hardy）：经蝶窦手术的复活和保存的关键人物

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摘要

Developed over a century ago, the transsphenoidal approach to access lesions of the pituitary gland and sella turcica has transformed the field of neurosurgery, largely due to the work of Oskar Hirsch and Harvey Cushing. Furthermore, its use and modification in the early 1900s was perhaps one of Cushing's greatest legacies to skull base surgery. However, Cushing, who had worked relentlessly to improve the transsphenoidal route to the pituitary region, abandoned the approach by 1929 in his pursuit to master transcranial approaches to the suprasellar region. Hirsch and a few other surgeons continued to perform transsphenoidal operations, but they were unable to maintain the popularity of the approach among their peers. During a time when transsphenoidal surgery was on the brink of extinction, a critical lineage of 3 key surgeons-Norman Dott, Gerard Guiot, and Jules Hardy-would resurrect the art, each working to further improve the procedure. Dott, Cushing's apprentice from 1923 to 1924, brought his experiences with transsphenoidal surgery to Edinburgh, Scotland, and along the way, developed the lighted nasal speculum to provide better illumination in the narrow working area. Guiot, inspired by Dott, adopted his technique and used intraoperative radiofluoroscopic technique for image guidance. Hardy, a fellow of Guiot, from Montreal, Canada, revolutionized transsphenoidal microsurgery with the introduction of the binocular microscope and selective adenomectomy. The teachings of these pioneers have endured over time and are now widely used by neurosurgeons worldwide. In this paper, we review the lineage and contributions of Dott, Guiot, and Hardy who served as crucial players in the preservation of transsphenoidal surgery.
机译：经过一个世纪前的发展，经蝶窦入路的垂体和蝶鞍突入病变已改变了神经外科领域，这主要归功于Oskar Hirsch和Harvey Cushing的工作。此外，它在1900年代初期的使用和修改也许是库欣对颅底手术最大的遗产之一。但是，库辛不懈地努力改善经蝶窦通往垂体区域的路线，于1929年放弃了采用这种方法，以追求掌握经颅途径到达鞍上区域的方法。 Hirsch和其他一些外科医生继续进行经蝶窦手术，但他们无法维持这种方法在同行中的流行。在经蝶窦手术濒临灭绝的时期，三位主要外科医生-诺曼·多特（Norman Dott），杰拉德·吉奥特（Gerard Guiot）和朱尔斯·哈迪（Jules Hardy）的重要血统将使这项技术复活，他们都致力于进一步改善手术程序。库特（Cushing）从1923年到1924年的学徒多特（Dott）将他的经蝶窦手术的经验带到苏格兰爱丁堡（Edinburgh），并一路开发了发光的鼻窥镜，以在狭窄的工作区域提供更好的照明。 Guiot受Dott的启发，采用了他的技术，并在术中使用了放射荧光镜技术进行图像引导。来自加拿大蒙特利尔的Guiot研究员Hardy通过引入双目镜显微镜和选择性腺切除术，彻底改变了经蝶窦显微手术。这些先驱者的教义经久不衰，现已被全世界的神经外科医师广泛使用。在本文中，我们回顾了Dott，Guiot和Hardy的血统和贡献，他们在保存经蝶窦手术中起着至关重要的作用。

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