基于不同解剖空间的对喉空间和下腔的方法
Song Mao1, Ru Tang1, Yuelong Gu1
1Department of Otolaryngology Head and Neck Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
World neurosurgery
|November 24, 2024
概括
一个新的三空间模型用于副喉空间 (PPS) 和下沟 (ITF) 帮助内镜头骨底部手术. 这种解剖学分隔可以通过根据病变位置指导方法选择来改善手术规划和患者的结果.
科学领域:
- 神经外科 神经外科
- 人体解剖学 解剖学 解剖学
- 手术瘤学手术瘤学
背景情况:
- 副喉空间 (PPS) 和下腔 (ITF) 是复杂的解剖区域.
- 在这些地区的内镜骨底部手术是具有挑战性的,因为复杂的解剖学和有限的骨标志.
研究的目的:
- 建议系统地对PPS和ITF进行细分.
- 为优化内镜骨底部手术的手术规划和方法.
主要方法:
- 保护大鼻腔和骨骨壁的骨参考框架.
- 沿着肌肉平面进行解剖,以定义三个不同的空间.
- 通过尸体研究和临床病例验证对分隔模型的评估.
主要成果:
- 根据关键肌肉的方向,PPS和ITF被分为三个空间 (中间状肌肉,侧面状肌肉,左侧状肌肉,左侧状肌肉,状肌肉).
- 在24个临床病例中,伤害在三个空间的分布:空间1中的3个,空间2中的8个和空间3中的13个.
- 具有完整切除和没有手术内或术后并发症的良好外科结果.
结论:
- 一个PPS和ITF的三空间解剖模型为内镜骨底部手术提供了一个结构化的框架.
- 这种模型可以根据病变的位置和靠近内动脉的位置来选择有针对性的外科手术路线.
- 拟议的分隔旨在在复杂的骨底部手术中最大限度地降低手术风险.
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