3D-exoscopic extradural Hakuba-Dolenc approach with manipulation of pneumatized anterior clinoid process for the prevention of cerebrospinal fluid leakage: how I do it.
{"title":"3D-exoscopic extradural Hakuba-Dolenc approach with manipulation of pneumatized anterior clinoid process for the prevention of cerebrospinal fluid leakage: how I do it.","authors":"Long Wang, Wenlong Tang, Ao Pei, Dong Zhang","doi":"10.1007/s00701-025-06583-8","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Microsurgical skull base technique continues to be a crucial component in repairing intracranial vascular anomalies and resecting massive lesions.</p><p><strong>Methods: </strong>We described a technical modification to manipulate pneumatized anterior clinoid process (pACP) during extradural Hakuba-Dolenc approach for the precaution of postoperative cerebrofluid leakage under the direct visualization of 3D digital Aeos exoscope. The interdural dissection of lateral wall of cavernous sinus followed by ACP removal using hybrid (drilling & biting) technique was performed. A supplemental video of surgical details was also presented.</p><p><strong>Conclusions: </strong>The hybrid clinoidectomy technique has been shown to be an effective method for preventing cerebrospinal fluid leakage, particularly during surgical manipulations involving pneumatized skull base bone.</p>","PeriodicalId":7370,"journal":{"name":"Acta Neurochirurgica","volume":"167 1","pages":"165"},"PeriodicalIF":1.9000,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145311/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Neurochirurgica","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00701-025-06583-8","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Microsurgical skull base technique continues to be a crucial component in repairing intracranial vascular anomalies and resecting massive lesions.
Methods: We described a technical modification to manipulate pneumatized anterior clinoid process (pACP) during extradural Hakuba-Dolenc approach for the precaution of postoperative cerebrofluid leakage under the direct visualization of 3D digital Aeos exoscope. The interdural dissection of lateral wall of cavernous sinus followed by ACP removal using hybrid (drilling & biting) technique was performed. A supplemental video of surgical details was also presented.
Conclusions: The hybrid clinoidectomy technique has been shown to be an effective method for preventing cerebrospinal fluid leakage, particularly during surgical manipulations involving pneumatized skull base bone.
期刊介绍：
The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
