通过轨道接近洞穴鼻腔:对相关的头骨神经进行解剖学研究
Alejandra Mosteiro1,2, Marta Codes1,2, Roberto Tafuto1,3
1Laboratory of Surgical Neuroanatomy (LSNA), Faculty of Medicine and Health Sciences, Universitat de Barcelona, Barcelona, Spain.
Frontiers in neuroanatomy
|May 2, 2024
概括
内镜透视轨道方法为洞穴鼻腔 (CS) 提供了一个新的外科手术走廊,提供了对头骨神经III,IV,V和VI的详细可视化. 这种解剖学研究对于推进跨轨道外科手术的安全性和有效性至关重要.
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:
- 洞穴鼻腔 (CS) 由于其复杂的神经血管解剖学而带来了重大外科挑战.
- 最佳的外科手术进入CS仍然是一个争论的话题.
- 透视透视轨道方法是一种用于访问选定的侧面CS病变的方法.
研究的目的:
- 从腹侧内镜转轨视角提供CS的综合解剖描述.
- 详细介绍了头骨神经III,IV,VI和动脉C3-C7段的过程.
- 为了建立安全的内镜转轨外科手术的解剖学里程碑.
主要方法:
- 解剖了五个装的人类尸体头部 (10个侧面).
- 进行内镜式的轨道横向切除方法,包括横向轨道边缘切除,前侧切除和切除.
- 利用神经导航来追踪头骨神经,并测量外科手术暴露时间.
主要成果:
- 通过轨道式方法可可视化侧侧CS壁和神经III,IV,V1-3和VI.
- 详细测量了头骨神经III (37±2毫米),IV (54±4毫米),VI (体部分27±6毫米) 和三神经分支的暴露长度.
- 这项研究绘制了从脑干起源到轨道入口的头骨神经图.
结论:
- 内透视轨道通道提供了进入关键头骨神经的水和洞穴部分的途径.
- 对神经,血管和持续关系的彻底理解对于安全的轨道外科手术至关重要.
- 这种解剖学研究有助于轨道外科手术技术的安全发展和巩固.
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