中国耳鼻咽喉头颈外科2017，Vol.24Issue(10)：529-532,4.DOI:10.16066/j.1672-7002.2017.10.009
内镜下经鼻扩大入路至斜坡区的应用解剖学研究
Applied anatomic study of the clivus region by extended endoscopic endonasal approach
摘要
Abstract
OBJECTIVE To study the anatomic relationship of the divus region and provide the anatomical basis for the extended endoscopic endonasal approach to clivus region.METHODS 10 cadaveric heads were dissected using the surgical microscope and endoscope.RESULTS 1.With the extended endoscopic endonasal approach,we can expose the ventral side of brain stem from interpeduncal fossa to the foramen magnum and upper,middle,and lower neurovascular complexes.2.The clivus region,formed by the sphenoid body and the clival part of occipital bone,is situated between the dorsum sellae and the anterior margin of the foramen magnum.Occipital bone and the petrous part of the temporal bone were separated by the petroclival fissure.CONCLUSION 1.The extended endoscopic endonasal approach can be tailored to deal with the local lesions involving the clivus and adjacent posterior cranial fossa structures.2.Full andcomprehensive understanding of the anatomy around the clivus region can help surgeons to improve accuracy and safety of procedures in this region.关键词
内窥镜检查/颅窝,后/解剖/经鼻扩大入路Key words
Endoscopy/Cranial Fossa, Posterior/Dissection/extended endonasal approach引用本文复制引用
曾宪海,汤文龙,李娟娟,赵海亮,邱书奇..内镜下经鼻扩大入路至斜坡区的应用解剖学研究[J].中国耳鼻咽喉头颈外科,2017,24(10):529-532,4.基金项目
深圳市科技研发资金基础研究项目(JCYJ20140411150717056)、深圳市重点实验室项目(ZDSYS201506050935272)和深圳市龙岗区科技计划医疗卫生项目(YLWS20140608104946411)联合资助 （JCYJ20140411150717056）
