Petrous Bone

岩骨
  • 文章类型: Journal Article
    With the advent of ancient DNA, as well as other methods such as isotope analysis, destructive sampling of archaeofaunal remains has increased much faster than the effort to collect and curate them. While there has been considerable discussion regarding the ethics of destructive sampling and analysis of human remains, this dialogue has not extended to archaeofaunal material. Here we address this gap and discuss the ethical challenges surrounding destructive sampling of materials from archaeofaunal collections. We suggest ways of mitigating the negative aspects of destructive sampling and present step-by-step guidelines aimed at relevant stakeholders, including scientists, holding institutions and scientific journals. Our suggestions are in most cases easily implemented without significant increases in project costs, but with clear long-term benefits in the preservation and use of zooarchaeological material.
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  • 文章类型: Journal Article
    目的:最近的报告验证了使用乙状窦后入路扩展来处理后颅窝病变,其横向向外向外或向上延伸到岩斜区域。我们研究的目的是描述岩层金字塔的地形乙状后解剖结构,并为神经血管保留钻孔提供指导(因此用于功能性岩石切除术),通过这个手术途径。
    方法:对6个标本在半位进行双侧上段和下段乙状结肠后入路延伸。通过神经导航测量了具有明显后外侧颅底结构的相关迷宫标志的地形关系。
    结果:在所有标本中都获得了良好的暴露,即颅外/岩下区域以及颅外颞下区域。在中下区,岩骨钻孔受到迷宫和上部内耳道以及颈静脉球的限制,岩下窦,和下面的颅神经。颈内动脉内代表前外侧界限。在上动脉区域,钻孔受到迷宫的横向限制(即,在上半规管的后部,后半规管的上部,和常见的小腿)。内耳道是下界,岩上窦和三叉神经限制了钻孔。量化了关键地标之间的多种地形关系。
    结论:所检查的迷宫结构的地形解剖学知识(结合术前影像学的仔细评估以及神经导航和内窥镜检查)可能有助于完成乙状结肠后神经血管保留性岩石切除术。
    OBJECTIVE: Recent reports have validated the use of retrosigmoid approach extensions to deal with posterior fossa lesions extending laterally extracranially or superiorly into the petroclival areas. The purpose of our research is to describe the topographic retrosigmoid anatomy of the petrous pyramid and provide guidelines for neurovascular sparing drilling (hence for a functional petrosectomy), via this surgical route.
    METHODS: Suprameatal and inframeatal retrosigmoid approach extensions were performed bilaterally in 6 specimens in the semisitting position. Topographic relationships of pertinent labyrinthine landmarks with evident posterolateral cranial base structures were measured by neuronavigation.
    RESULTS: Excellent exposure of inframeatal/petroclival regions as well as of the extracranial posterior infratemporal area was achieved in all the specimens. In the inframeatal region, petrous bone drilling was limited by the labyrinth and the internal auditory canal superiorly and by the jugular bulb, the inferior petrosal sinus, and the lower cranial nerves inferiorly. The intrapetrous internal carotid artery represented the anterolateral limit. In the suprameatal area, the drilling was limited laterally by the labyrinth (i.e., by the posterior part of the superior semicircular canal, the upper part of the posterior semicircular canal, and the common crus). The internal auditory canal was the inferior limit, and the superior petrosal sinus and the trigeminal nerve limited the drilling superiorly. Multiple topographic relationships among key landmarks were quantified.
    CONCLUSIONS: Knowledge of the topographic anatomy of the labyrinthine structures examined may be useful (combined with careful assessment of the preoperative imaging and with the use of neuronavigation and endoscopy) to accomplish a retrosigmoid neurovascular sparing petrosectomy.
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    文章类型: English Abstract
    The extended middle fossa approach to the cerebello-pontine angle was practiced in ten human temporal bones, and the topographical relations of essential structures were studied by exposure of the bony labyrinth. After identification of the greater superficial petrosal nerve and the grey line of the superior semicircular canal landmarks were defined in order to localize the vertical crest (Bill\'s bar), the ampulla of the superior semicircular canal, the intralabyrinthine part of the facial nerve, the cochlea, and the internal carotid artery. The advantages of the extended middle fossa approach for the preservation of the labyrinthine and cochlear structures together with the safe identification of the facial and cochleo-vestibular nerves are emphasized.
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