Neurosurgery for the rhinologist.

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-02-01 Epub Date: 2023-12-14 DOI:10.1097/MOO.0000000000000950

Mariagrazia Nizzola, Luciano C P C Leonel, Maria Peris-Celda

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引用次数: 0

Abstract

Purpose of review: The purpose of this review is to provide a comprehensive anatomical appraisal of the neurosurgical anatomy exposed through the endonasal and paranasal sinuses routes, focusing on the most common expanded endonasal approaches (EEAs) as well as recent advances in this surgical field.

Recent findings: The EEAs are redefining the management of skull base pathology. Neurovascular structures previously considered a limitation, can be now approached through these surgical corridors. Advances in this field include the development of new surgical techniques and routes that allow better visualization and access to pathologies located in the ventral skull base. Understanding the surgical anatomy related to EEAs is essential not only for neurosurgeons but also for rhinologists.

Summary: Knowledge of the surgical anatomy of the most common EEAs that utilize paranasal sinuses as a surgical corridor enables more effective management of complex skull base pathologies. Comprehensive anatomical knowledge of these corridors and the surrounding neurovascular structures is crucial to maximize benefits of EEAs and improve outcomes.

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鼻科医生的神经外科。

综述目的：本综述旨在对通过鼻内窦和鼻旁窦途径暴露的神经外科解剖进行全面的解剖学评估，重点关注最常见的鼻内窦扩大入路（EEA）以及该手术领域的最新进展：最新研究结果：EEA 正在重新定义颅底病理学的治疗方法。神经血管结构以前被认为是一种限制，现在可以通过这些手术通道进行治疗。这一领域的进展包括开发了新的手术技术和路径，使位于腹侧颅底的病变得到更好的观察和治疗。摘要：了解利用鼻旁窦作为手术走廊的最常见 EEA 的手术解剖学知识，可以更有效地治疗复杂的颅底病变。全面掌握这些走廊和周围神经血管结构的解剖知识，对于最大限度地发挥 EEA 的优势和改善疗效至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Otolaryngology & Head and Neck Surgery OTORHINOLARYNGOLOGY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.