دورية أكاديمية

Endoscopic Endonasal Transclival Approach to Tumors of the Clivus and Anterior Region of the Posterior Cranial Fossa: An Anatomic Study.

التفاصيل البيبلوغرافية
العنوان: Endoscopic Endonasal Transclival Approach to Tumors of the Clivus and Anterior Region of the Posterior Cranial Fossa: An Anatomic Study.
المؤلفون: Shkarubo AN; Department of Neurooncology, Federal State Autonomous Institution, N. N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Health of the Russian Federation, Moscow, Russia., Koval KV; Department of Neurooncology, Federal State Autonomous Institution, N. N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Health of the Russian Federation, Moscow, Russia., Shkarubo MA; Department of Neurooncology, Federal State Autonomous Institution, N. N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Health of the Russian Federation, Moscow, Russia., Chernov IV; Department of Neurooncology, Federal State Autonomous Institution, N. N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Health of the Russian Federation, Moscow, Russia. Electronic address: ichernov@nsi.ru., Andreev DN; Department of Neurooncology, Federal State Autonomous Institution, N. N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Health of the Russian Federation, Moscow, Russia., Panteleyev AA; Department of Spinal Pathology, N. N. Priorov Central Institute of Traumatology and Orthopedics, Moscow, Russia.
المصدر: World neurosurgery [World Neurosurg] 2018 Nov; Vol. 119, pp. e825-e841. Date of Electronic Publication: 2018 Aug 07.
نوع المنشور: Evaluation Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York : Elsevier
مواضيع طبية MeSH: Chordoma/*surgery , Cranial Fossa, Posterior/*surgery , Neuroendoscopy/*methods , Skull Base Neoplasms/*surgery, Cadaver ; Cephalometry/methods ; Chordoma/pathology ; Cranial Fossa, Posterior/pathology ; Humans ; Skull Base Neoplasms/pathology ; Trephining/methods
مستخلص: Objective: To present the basic topographic and anatomic features of the clivus and adjacent structures with an objective of possible improvements and optimization of the extended endoscopic endonasal posterior (transclival) approach when removing tumors of the clivus and anterior regions of the posterior cranial fossa.
Materials and Methods: A craniometric study was conducted on 125 human skulls. A topographic anatomic study was conducted on 25 cadaver head specimens with arterial and venous beds stained with colored silicone, according to the method developed by us, to visualize its features and individual variability.
Results: The most important anatomic features of the external and internal regions of the clivus and the adjacent neural and vascular structures were analyzed. An accessible zone for the most effective transclival approach to the posterior cranial fossa is also specified.
Conclusion: The endoscopic endonasal transclival approach can be used to obtain access to centrally located tumors of the posterior cranial fossa. It is an alternative to transcranial approaches in the surgical treatment of tumors of the clivus.
(Copyright © 2018 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Chordoma of clivus; Clivus; Endoscopic endonasal surgery of skull base; Endoscopic endonasal transclival approach; Monitoring of cranial nerves; Posterior cranial fossa; Skull base anatomy
تواريخ الأحداث: Date Created: 20180811 Date Completed: 20181211 Latest Revision: 20191210
رمز التحديث: 20240628
DOI: 10.1016/j.wneu.2018.07.275
PMID: 30096504
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-8769
DOI:10.1016/j.wneu.2018.07.275