关键词: anterior clivectomy cadaveric study craniovertebral junction endoscopic assisted approach neuroanatomy transcervical approach

来  源:   DOI:10.3389/fsurg.2024.1397729   PDF(Pubmed)

Abstract:
UNASSIGNED: The surgical management of pathologies involving the clivus and craniocervical junction has always been considered a complex procedure because of the deeply located surgical targets and the surrounding complex neural and vascular anatomical structures. The most commonly used approaches to reach this area are the transnasal, transoral, and transcervical approaches.
UNASSIGNED: This approach was performed unilaterally on five cadaver heads and bilaterally on one cadaver head.
UNASSIGNED: We described a modified endoscope-assisted high cervical anterolateral retropharyngeal approach in which each stage of the procedure was demonstrated on human cadavers in a step-by-step manner using endoscopic camera views. This approach was broken down into nine steps. The neurovascular structures encountered at each step and their relationships with each other are demonstrated.
UNASSIGNED: The advantages and disadvantages of our modified approach were compared to the conventional transcervical, transoral, and endoscopic endonasal approaches.
摘要:
由于手术目标位置较深,周围复杂的神经和血管解剖结构,因此涉及斜坡和颅颈交界处的病理的手术治疗一直被认为是一项复杂的手术。到达这个区域最常用的方法是经鼻,经口,和经宫颈入路。
该方法在五个尸体头部上单侧进行,在一个尸体头部上双侧进行。
我们描述了一种改进的内窥镜辅助的高颈前外侧咽后入路,其中使用内窥镜摄像机视图以逐步的方式在人体尸体上演示了该过程的每个阶段。这种方法分为九个步骤。证明了在每个步骤中遇到的神经血管结构及其彼此之间的关系。
将我们的改良方法的优缺点与常规的经宫颈方法进行了比较,经口,和鼻内镜入路。
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