眼前隙-皮质体窗口接近状侧隙 头骨底部缺陷
Zhen-Xiao Huang1, Bing Zhou1, Jing-Ying Ma1
1Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital Capital Medical University, Key Laboratory of Otolaryngology and Head and Neck Surgery, Ministry of Education Beijing China.
World journal of otorhinolaryngology - head and neck surgery
|February 9, 2026
概括
眼前 - 状窗口方法 (PLR-PWA) 成功治疗了状侧 (SLR) 中的大脑脊髓液泄漏和脑膜大脑. 解剖学的考虑,包括气动化和大神经 (V2) 过程,对于这种微创技术至关重要.
科学领域:
- 神经外科 神经外科
- 头骨底部手术 头骨底部手术
- 人体解剖学 解剖学 解剖学
背景情况:
- 脑脊髓液泄漏和脑膜大脑 (CSFLME) 在状侧 (SLR) 中存在复杂的外科手术挑战.
- 了解SLR的解剖学变异,包括气动化和周围的神经血管结构,对于成功治疗至关重要.
研究的目的:
- 评估眼前 - 状窗口方法 (PLR-PWA) 在SLR中治疗CSFLME的疗效和安全性.
- 调查SLR的解剖学特征,重点关注气动化和上神经 (V2) 的过程.
主要方法:
- 在SLR中对13名自发性CSFLME患者进行了回顾性审查,这些患者接受了PLR-PWA.
- 使用Rhoton的分类和通过CT扫描对解剖关系的分析来分类SLR气动化.
主要成果:
- PLR-PWA实现了100%的手术成功率,随访时间中位数为26.8个月.
- 54.55%的患者经历了上唇和脸部的临时术后低感觉.
- 所有分析的单反相机都表现出广泛的气动化,V2神经在23.08%的病例中在单反相机下面和横跨单反相机.
结论:
- 该PLR-PWA是一个可行的和最少的侵入性手术选择,用于CSFLME在气动化良好或完全横向类型的SLR.
- 在计划PLR-PWA程序时,对SLR气动化和V2神经的解剖过程进行手术前评估至关重要.
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