UNASSIGNED: This was a literature review targeting literature in the past 10 years to present evidence for studies on surgical approaches transorbital. The included articles were analyzed. In addition, the references list of the included papers was searched for further articles.
UNASSIGNED: Studies based on the endoscopic endonasal and transorbital approach have emphasized that it is minimally invasive; on the other hand, it offers an advantage to maximal resection success in the case of skull base tumors with advanced endoscopic skills. Transorbital neuroendoscopic surgery was criticized for being highly technical and narrow in its scope, with reduced morbidity. Superior Eyelid Approach involves a direct access with hidden incisions, potential for eyelid complications. Lateral orbitotomy entailed some inherent risks, such as muscle and nerve injury, but it gave excellent exposure to lesions that are lateral in the orbit. The transorbital endoscopic intraconal approach and the transconjunctival approach give direct advantages but are, however, limited to the type of lesion and location.
UNASSIGNED: The main technique focused on in this overview is the approaches through orbits, which greatly contribute to further innovation brought into the surgical panorama of skull base interventions. All such techniques do have their characteristics and applications, keeping them moving toward less invasiveness.
■这是一篇针对过去10年文献的文献综述,为经眶手术入路的研究提供证据。对纳入的文章进行了分析。此外,在所收录论文的参考文献列表中搜索更多文章。
■基于内窥镜鼻内和经眶入路的研究强调它是微创的;另一方面,在具有先进的内窥镜技术的颅底肿瘤的情况下,它提供了最大切除成功的优势。经眶神经内镜手术被批评为技术性强,范围狭窄,降低发病率。高级眼睑入路包括直接进入隐藏切口,眼睑并发症的可能性。外侧眼眶切开术带来了一些固有的风险,如肌肉和神经损伤,但它能很好地暴露于眼眶外侧的病变。经眶内镜经腔入路和经结膜入路具有直接的优势,但是,然而,仅限于病变类型和位置。
■本概述中关注的主要技术是通过轨道的方法,这极大地促进了颅底干预手术全景图的进一步创新。所有这些技术都有其特点和应用,让他们朝着更少侵入的方向前进。