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内镜内鼻腔透过鼻切除术:解剖学的考虑和技术说明

Jianfeng Liu¹, Jianhui Zhao¹, Yibei Wang¹

¹Department of Otorhinolaryngology - Head & Neck Surgery, China-Japan Friendship Hospital, Beijing, China.

|November 21, 2023

概括

研究人员确定了一个新的外科里程碑,ICA-longus capitis肌肉-petrous顶峰脊柱三角形,用于内动脉 (ICA) 在内镜内透管鼻切除术 (EETPN) 期间. 这有助于鼻手术.

科学领域:

人体解剖学解剖学解剖学
手术瘤学手术瘤学
神经外科神经外科

背景情况:

鼻手术需要精确的解剖学知识.
内动脉 (ICA) 是 parapharyngeal空间的一个关键结构.
确定可靠的ICA地标对于安全的鼻切除术至关重要.

研究的目的:

在ICA的副鼻段中识别新的解剖学地标.
描述内镜内鼻切除术 (EETPN) 的外科技术.

主要方法:

使用了四个尸体标本注射了彩色.
进行CT扫描和剖析鼻骨底部.
审查了四名接受EETPN治疗鼻恶性瘤的患者的临床数据.

主要成果:

定义了ICA-longus capitis肌肉-petrous顶峰脊柱三角形作为一个新的地标.
这个三角形可靠地识别了ICA的上副喉段.
关键的边界包括长头肌 (longus capitis muscle),骨 (foramen lacerum),脊柱顶部 (petrous apex spine),骨肌 (levator veli palatini muscle) 和ICA. 这三种肌肉的关键边界包括长头肌 (longus capitis muscle),骨肌 (foramen lacerum),脊柱顶部 (petrous apex spine),骨肌 (levator veli palatini muscle) 和ICA. 这三种肌肉的关键边界包括长头肌 (longus capitis muscle) 和骨肌 (ICA.

结论:

ICA-longus capitis肌肉-petrous顶峰脊柱三角形作为一个重要的地标.
这一里程碑对于在EETPN期间导航上副喉ICA至关重要.
提高了手术安全性和鼻切除手术的精度.

关键词:

进行内镜检查.内动脉 - 内动脉的动脉.鼻的恶性瘤.进行鼻切除术 (nasopharyngectomy).跨形形的方法.

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