关键词: Anterior cranial fossa Endoscope Exoscope Olfactory groove Planum sphenoidale Suprapterional keyhole

Mesh : Humans Skull Base Neoplasms / surgery diagnostic imaging Craniotomy / methods Cranial Fossa, Anterior / surgery Skull Base / surgery diagnostic imaging Minimally Invasive Surgical Procedures / methods Neurosurgical Procedures / methods Male Female Middle Aged

来  源:   DOI:10.1007/s00701-024-06202-y   PDF(Pubmed)

Abstract:
BACKGROUND: For a minimally invasive treatment approach to the anteromedial part of the anterior cranial fossa (ACF), a small incision and craniotomy of the posterolateral part of the ACF are preferable.
METHODS: We described the concept and technique of suprapterional keyhole approach (SPKA), which uses an exoscope and endoscope to treat ACF lesions.
CONCLUSIONS: The SPKA enables ACF observation from the lateral direction; the endoscope\'s extended viewing angles enable the observation of the anteromedial part of the ACF, including the bilateral olfactory groove. Facial skin and large scalp incisions are avoided, making this approach efficient for ACF lesions.
摘要:
背景:对于前颅窝(ACF)的前内侧部分的微创治疗方法,ACF后外侧部分的小切口和开颅术是优选的。
方法:我们描述了超锁眼入路(SPKA)的概念和技术,使用外镜和内窥镜治疗ACF病变。
结论:SPKA可以从横向方向观察ACF;内窥镜的扩展视角可以观察ACF的前内侧部分,包括双侧嗅沟。避免了面部皮肤和大的头皮切口,使这种方法对ACF病变有效。
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