Microsurgical and neuro endoscopic anatomy for frontolateral keyhole approach
- VernacularTitle:额外侧锁孔入路的显微与神经内镜解剖
- Author:
Xiao-Chun JIANG
;
Feng-Yi ZHU
;
Ya-Zhuo ZHANG
;
Qing-Liang LIU
;
Ming SONG
;
Chun-Sheng ZHAO
;
Ming-Wei ZHOU
;
Xin-Cheng CHEN
;
Xing-Gen FANG
;
Shan-Shui XU
;
Ning LIU
;
- Publication Type:Journal Article
- Keywords:
Frontolateral approach;
Skull base;
Microanatomy;
Neuroendoscopy
- From:
Chinese Journal of Microsurgery
2006;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore and compare the relevant regional anatomies as they relate the fron- tolateral keyhole approach under microscopy and neuroendoscopy for operations in anterior cranial base and sellar region.Methods Fifteen silieone-injected cadaveric heads were dissected to reveal and compare the extent of expesure through the transfrontolateral keyhole approach under neuroendoscopy and microscopy. Results Portions in the areas of olfactory groove,sellar region and sylvian tissure were blind under micro- scope.Endoscope could allow observation of areas considered blind under the microscope.It could increase light intensity during the approach to objects,extend viewing angles,clear depiction of details in close-up po- sitions and inspect hidden structures.But images of endoscope were two dimensional,lack of view depth.Mi- croscopy and neuroendoscopy could help each other to recuperate deficiency.Conclusion Endoscope-assis- ted neuromicrosurgery is helpful,safe and minimally invasive to treat deepseated lesions in anterior cranial base,sellar region by transfrontolateral keyhole approach.
