从内镜内视角看洞穴内动脉分支的起源和过程:尸体研究和分析临床影响
Edoardo Agosti1,2,3, A Yohan Alexander1,2,4, Danielle D Dang1,2,5
1Rhoton Neurosurgery and Otolaryngology Surgical Anatomy Program, Mayo Clinic, Rochester , Minnesota , USA.
Operative neurosurgery (Hagerstown, Md.)
|October 22, 2024
概括
脑膜垂体干 (MHT) 和下侧干 (ILT) 是洞穴内动脉 (cICA) 的一致分支. 了解它们的确切起源对于安全的内镜内外科手术至关重要.
科学领域:
- 人体解剖学 解剖学 解剖学
- 神经外科 神经外科
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 洞穴内动脉 (cICA) 的分支对内鼻腔洞穴内的内镜接近至关重要.
- 无意中伤害cICA分支可以导致严重的手术内并发症.
研究的目的:
- 从内镜内视角研究cICA分支的起源和过程.
- 为了将这些动脉分支与手术相关的解剖学地标联系起来.
主要方法:
- 从30个固定在甲中的标本中切割60个侧面.
- 确定cICA的关键分支:下侧干 (ILT),脑膜下细胞干 (MHT),麦康奈尔囊动脉 (MCAs) 和上侧干 (SLT).
主要成果:
- 连续确定了MHT和ILT.
- 前部和下部MCAs分别存在于28%和25%的侧面.
- SLT是罕见的 (3%),MHT和ILT是最接近的分支.
结论:
- MHT和ILT是cICA的常规分支,对于外科手术规划至关重要.
- 确定了MHT和ILT起源的精确解剖细节,这些细节与床和口有关.
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