我是怎么做的内窥镜海绵窦内侧壁切除术。

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2024-07-16 DOI:10.1007/s00701-024-06177-w

Eugenio Cárdenas Ruiz-Valdepeñas, Estrella Barrero Ruiz, Aberto Acitores Cancela, Victor Rodriguez Berrocal

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引用次数: 0

摘要

背景：海绵窦内侧壁切除术（MWCSR）是一种用于根治性切除垂体腺瘤的手术方法：方法：我们提出了一种简单的技术改造方法，即在蝶窦底部的两层硬膜后进行切除，这样可以及早识别内侧壁并简化解剖。我们通过对尸体标本的解剖分析和清晰的解剖图像来支持这一技术：结论：识别和解剖肩胛底部硬脊膜展开是 "关键点"，可降低风险并促进 MWCSR。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

How I do it: Endoscopic endonasal resection of the medial wall of the cavernous sinus.

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How I do it: Endoscopic endonasal resection of the medial wall of the cavernous sinus.

Background: Resection of the medial wall of the cavernous sinus (MWCSR) is a growing surgical maneuver for the radical removal of pituitary adenomas.

Method: We present a simple modification of the technique following the two dural layers of the floor of the sella turcica, allowing for early identification of the medial wall and simplifying dissection. We support this technique with an anatomical analysis on cadaveric specimens and clarifying dissection images.

Conclusion: Recognition and dissection of the dural unfolding of the floor of the sella turcica are "key points" that lower the risk and facilitate the MWCSR.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

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.