跨轨道方法:对目标,外科技术和多门户变体的全面审查
Matteo De Simone1, Cesare Zoia2, Anis Choucha3,4
1Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Via S. Allende, 84081 Baronissi, Italy.
Journal of clinical medicine
|May 11, 2024
概括
转轨道方法 (TOA) 为骨底部手术提供了一个多功能走廊,可以进入前,中和后骨. 本综述详细介绍了TOA变异和目标病变,增强了神经外科知识.
科学领域:
- 神经外科 神经外科
- 头骨底部手术 头骨底部手术
- 最少侵入性的技术
背景情况:
- 跨轨道方法 (TOA) 是头骨底部手术中越来越多地使用的外科走廊.
- 它可以进入前,中和后骨,用于治疗各种内病理.
- 现有的文献缺乏对TOA各种应用和适应的全面审查.
研究的目的:
- 通过跨轨道路线划分可治疗的目标病变.
- 根据外科复杂性对这些病变进行分类.
- 为了提供独立和组合的跨轨道方法变化的概述.
主要方法:
- 广泛的文献审查.
- 基于手术复杂性的目标病变的分类.
- 分析不同的轨道过轨方法变体和多门户组合.
主要成果:
- 跨轨道方法可以访问前,中和后脑 fossae 的病理.
- 存在多种TOA变体,它们的侵入性和轨道入口点不同 (上眼折叠,前,侧向后眼,前下眼).
- 多门 TOA 变体,与其他方法相结合,可访问特定的外科领域.
结论:
- 跨轨道方法是神经外科手术中一个重要的和可适应的技术.
- 需要进一步的研究来探索它的全部潜力,完善技术,并研究新的应用.
- 本次审查旨在提高人们的认识,并指导未来对轨道轨道方法的调查.
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