内镜内外透形方法:技术教训
Guilherme Finger1, Ramazan Gun2, Kyle C Wu1
1Department of Neurosurgery, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Operative neurosurgery (Hagerstown, Md.)
|June 23, 2023
概括
内镜内内透形方法 (EETPA) 提供了对骨底部的广泛访问. 精心的手术前规划是必不可少的,以导航其复杂的解剖学,避免神经损伤等潜在的并发症.
科学领域:
- 神经外科 神经外科
- 内镜头骨底部手术 进行内镜头骨底部手术
- 人体解剖学 解剖学 解剖学
背景情况:
- 内透视内透视的方法 (EETPA) 是一种最少的侵入性技术.
- 它为骨底部的关键结构提供了无与伦比的访问.
研究的目的:
- 详细介绍EETPA的手术前规划的解剖基本情况.
- 概述EETPA的程序步骤和潜在的并发症.
- 描述变种及其使用说明.
主要方法:
- 详细的解剖审查的 pterygoid 过程和相关的 foramina.
- 手术技术的逐步描述,包括大肠静脉切除和骨形切除.
- 讨论潜在的并发症及其避免.
主要成果:
- 在EETPA允许直接访问顶,侧,洞穴鼻腔,上孔,和下沟.
- 了解关键孔 (宫,视,轮孔) 对外科手术走廊至关重要.
- 潜在的并发症包括眼缺陷和面部麻醉/神经疼痛.
结论:
- EETPA显著扩大了冠状平面中的手术暴露.
- 对相关解剖学和潜在的陷进行彻底的手术前评估对于成功的结果至关重要.
- 了解EETPA变体有助于为特定病理量身定制方法.
相关概念视频
Endotracheal Intubation I: Procedure
1.8K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.8K
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
237
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
237
Endoscopic Studies II: Thoracocentesis
354
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
354
Endoscopic Procedures V: ERCP
436
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
436
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
23
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
23
Endoscopic Procedures I: Esophagogastroduodenoscopy
208
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
208


