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前侧三角形作为从跨轨道走廊看孔口的窗口:解剖学研究和技术细微差别

Sergio Corvino^1,2, Daniele Armocida³, Martina Offi⁴

¹Division of Neurosurgery, Department of Neuroscience and Reproductive and Odontostomatological Sciences, Università Degli Studi Di Napoli Federico II, 80131, Naples, Italy. sercorvino@gmail.com.

Acta neurochirurgica

|July 21, 2023

概括

上眼透视管内镜方法 (SETOA) 为神经外科提供了一个新的视角,揭示了中沟中的关键解剖标志. 这种最少的侵入性技术补充了其他内镜方法来访问复杂的头骨底部区域.

科学领域:

神经外科神经外科
人体解剖学解剖学解剖学
内視鏡外科手術內視鏡外科手術

背景情况:

上眼透视管内镜方法 (SETOA) 是神经外科手术中新兴的一种技术.
从这种新的角度了解外科解剖学对于安全有效的手术至关重要.
扩大神经外科指示需要对SETOA走廊的详细解剖学知识.

研究的目的:

提供SETOA揭示的外科手术景观的详细解剖研究.
通过SETOA识别和定义中间头骨的前侧三角内关键的手术地标.
通过SETOA比较前两侧三角形的操作走廊和可访问的表面面积与扩展的内镜内腔方法.

主要方法:

解剖学剖析在8个巴萨姆成年尸体样本 (16个侧面) 上进行.
使用SETOA暴露了洞穴鼻腔和中间头骨.
前两侧三角形被切割,其内容被暴露出来. 对比分析包括一个扩展的内镜内腔跨关节的方法 (EEEA).
在三个样本中使用图像引导导航计算了前两侧三角形的表面积测量.

主要成果:

对于前侧三角形的SETOA方法可以创建超视窗和低视窗.
超视角窗口提供了进入下和梅克尔洞穴的通道,而下视角窗口则通往状鼻.
前两侧三角形的可访问面积在SETOA (45.48 mm2) 和EEEA (42.32 mm2) 之间是可比的.

结论:

SETOA是一种有价值的最小入侵方法,是EEEA的补充,用于访问中介间的梅克尔洞穴和沟.
三神经的侧环作为一个可靠的地标,用于定位内动脉 (ICA) 段.
需要进一步的研究来确定SETOA的临床可行性和学习曲线.

关键词:

内部透视的轨道转移器形骨 (Foramen lacerum) 是一个形骨.梅克尔的洞穴是什么意思中间福萨三角形.视神经是一种神经.

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