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侧向转轨内镜辅助方法对洞穴鼻进行研究

Evan D Bander¹, Joseph A Carnevale¹, Umberto Tosi¹

¹Department of Neurosurgery, Weill Cornell Medical College, New York Presbyterian Hospital, New York, New York, USA.

Operative neurosurgery (Hagerstown, Md.)

|July 10, 2023

概括

横向转轨方法 (LTOA) 为访问洞穴鼻腔 (CS) 提供了一种最小侵入性的钥匙孔选项. 这种技术在所有患者中实现了手术目标,其中一些患者经历了脑神经功能改善.

科学领域:

神经外科神经外科
最少侵入性的手术
头骨底部手术头骨底部手术

背景情况:

洞穴鼻腔 (CS) 手术由于其小而复杂的解剖学而带来挑战.
横向转轨方法 (LTOA) 是一种钥匙孔技术,用于访问横向CS.

研究的目的:

评估LTOA对CS病变的疗效和安全性.
描述患者的指示,手术结果和并发症.

主要方法:

在2020-2023年期间接受LTOA治疗的6名患者的回顾性评估.
对手术目标,切除程度和神经结果的分析.

主要成果:

LTOA成功地实现了各种CS病理 (皮质囊, schwannoma等) 的手术目标. ) 的情况.
平均切除程度为64.6%. 在50%的受影响患者中,手术前的神经病变有所改善.
没有出现新的永久性神经病变;一个血管损伤是通过血管内管理的.

结论:

该LTOA提供了一个有价值的最小接入走廊到侧面的CS.
仔细的患者选择和现实的手术目标对于成功的LTOA结果至关重要.

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