改良咽后入路及枕颈前结重建的解剖学及技术要点。

IF 1 4区医学 Q4 CLINICAL NEUROLOGY

British Journal of Neurosurgery Pub Date : 2024-10-01 Epub Date: 2022-06-16 DOI:10.1080/02688697.2022.2086966

Leandro Infantini Dini, Simone Afonso Dini, Wanderson Willian Dos Santos Dias, Michel Martins Guarenti, Eduardo Madruga Lombardo, Rogério Miranda Pagnoncelli, Gustavo Rassier Isolan

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引用次数: 0

摘要

暴露前枕颈交界处（OCJ）的手术是严格的，最佳方法是有争议的。重要结构的邻近性和难以进行的外科手术对治疗该区域的病变提出了独特的挑战。常规进入上前颈椎的途径仍然有限。作者提出了一种改良的咽后入路和器械，以切除一种罕见的累及颅椎交界处的非典型横纹肌样畸胎瘤。本文从解剖学角度讨论了这种方法的技术方面。

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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Anatomical aspects and technical note of a modified retropharyngeal approach and reconstruction of the anterior occipitocervical junction.

Surgery to expose the anterior occiptocervical junction (OCJ) is exacting, and optimal approaches are debatable. The close proximity of vital structures and difficult surgical access present a unique challenge to treat lesions in this area. Routine access to the upper anterior cervical spine remains limited. The authors present a modified retropharyngeal approach and instrumentation in order to resect an exceptionally rare atypical rhabdoid teratoid tumor involving the craniovertebral junction. The technical aspects of this approach in anatomical perspectives are discussed in this article.

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来源期刊

British Journal of Neurosurgery 医学-临床神经学

CiteScore

2.30

自引率

9.10%

发文量

139

审稿时长

3-8 weeks

期刊介绍： The British Journal of Neurosurgery is a leading international forum for debate in the field of neurosurgery, publishing original peer-reviewed articles of the highest quality, along with comment and correspondence on all topics of current interest to neurosurgeons worldwide. Coverage includes all aspects of case assessment and surgical practice, as well as wide-ranging research, with an emphasis on clinical rather than experimental material. Special emphasis is placed on postgraduate education with review articles on basic neurosciences and on the theory behind advances in techniques, investigation and clinical management. All papers are submitted to rigorous and independent peer-review, ensuring the journal’s wide citation and its appearance in the major abstracting and indexing services.