骨基重建的术前,技术和术后考虑:对关键概念的实际审查
K M Phillips1, M T Turner2, E C Kuan3
1Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Rhinology
|July 15, 2023
概括
在去除瘤后重建头骨基是具有挑战性的. 本综述为外科医生提供了指导原则,以改善结果并防止脑脊液泄漏.
科学领域:
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
背景情况:
- 内镜头骨底部手术正在取得进展,使复杂病理的治疗成为可能.
- 头骨底部的重建和脑脊液 (CSF) 泄漏的预防仍然是重要的外科手术挑战.
- 不断发展的证据指导了对头骨底部重建原理的改进理解.
研究的目的:
- 总结了骨基础重建中的关键概念.
- 为优化重建成功提供实用,全面的指导原则.
- 作为头骨基础外科医生的最先进的资源.
主要方法:
- 对当前文献和证据进行叙述性审查.
- 术前,术后和术后管理策略的综合.
- 专注于耳鼻喉科医生和神经外科医生的原则.
主要成果:
- 识别了头骨基重建中的关键挑战.
- 编制基于证据的指导原则,以确保手术成功.
- 强调复杂案件的多学科方法.
结论:
- 优化骨基重建需要遵守既定原则.
- 防止CSF泄漏对于成功的手术结果至关重要.
- 不断的学习和适应新证据对于骨底部外科医生至关重要.
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