视神经的发展及其与侧面叶片的关联:对于内镜外科手术的相关性
Tugba Tulaci1, Kamil Gokce Tulaci1, Hasan Canakci1
1Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Balikesir University, Balikesir, Turkey.
Surgical and radiologic anatomy : SRA
|December 8, 2025
概括
该研究发现,视神经突出进入鼻与较长的侧面叶片和更深的嗅觉洞相关. 这种解剖学变异在内镜术过程中增加了手术风险.
科学领域:
- 人体解剖学 解剖学 解剖学
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 视神经的解剖过程对于了解骨底部手术期间的潜在风险至关重要.
- 视神经与鼻相对位置的变化会影响手术结果.
研究的目的:
- 为了研究视神经的解剖过程 (德拉诺分类) 和前头骨底部形态之间的关联.
- 评估视神经位置和侧面叶片长度和嗅觉洞深度之间的关系.
主要方法:
- 对192个鼻外腔CT扫描进行了回顾性审查.
- 使用德拉诺分类 (类型1-4),对视神经过程进行分类.
- 评估侧面叶片长度和Keros分类,并进行统计分析.
主要成果:
- 在Delano类型 (p=0.001) 之间发现侧面片长的显著差异.
- 与1型相比,Delano类型3和4的侧面叶片显著更长.
- 在较高的Delano类型中观察到Keros类型3的患病率增加,这表明嗅觉洞更深.
结论:
- 这项研究确立了德拉诺分类与前头骨底部形态学之间的显著解剖相关性.
- 增加的视神经突起与延长的侧面叶片和更深的嗅觉洞有关,可能会增加因子性损伤的风险.
- 在手术前使用Delano和Keros分类可以改善手术风险分层和患者安全.
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