دورية أكاديمية
Anatomical Aspects of the Transnasal Endoscopic Access to the Craniovertebral Junction.
| العنوان: | Anatomical Aspects of the Transnasal Endoscopic Access to the Craniovertebral Junction. |
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| المؤلفون: | Shkarubo AN; Department of Neurosurgery, N.N. Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation; Department of Neurosurgery, RUDN University, Moscow, Russian Federation; Department of Neurosurgery, N.N. Priorov Central Institute of Traumatology and Orthopedics, Moscow, Russian Federation. Electronic address: ashkarubo@nsi.ru., Nikolenko VN; I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russian Federation; Department of Anatomy, Lomonosov Moscow State University, Moscow, Russian Federation., Chernov IV; Department of Neurosurgery, N.N. Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation., Andreev DN; Department of Neurosurgery, N.N. Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation., Shkarubo MA; Department of Neurosurgery, N.N. Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation., Chmutin KG; Department of Neurosurgery, RUDN University, Moscow, Russian Federation., Sinelnikov MY; I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russian Federation. |
| المصدر: | World neurosurgery [World Neurosurg] 2020 Jan; Vol. 133, pp. e293-e302. Date of Electronic Publication: 2019 Sep 11. |
| نوع المنشور: | 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: | Natural Orifice Endoscopic Surgery/*methods , Neuroendoscopy/*methods, Adult ; Cadaver ; Cervical Vertebrae/anatomy & histology ; Humans ; Male ; Nasal Cavity ; Skull/anatomy & histology |
| مستخلص: | Objective: Interest in endoscopic transnasal access has increased with continued technological advances in endoscopic technology. The goals of this study were to review the normal anatomy in transnasal endoscopic neurosurgery and outline the anatomical basis for an expanded surgical approach. Defining anatomical aspects of surgical endoscopy helps guide the surgeon by defining normal anatomy of the access vector. Methods: This anatomic study was conducted on 15 adult male cadaver specimens using various microsurgical tools and endoscopic instruments and 1 intraoperative case. The vasculature was injected with colored silicone to aid visualization. Different transnasal approach techniques were used, with angles of endoscope access at 0°, 30°, 45°, and 70° accordingly for extensive anatomical mapping. Results: The proximity of critical structures is different in each approach degree. A full understanding of the possible structures to be met during transnasal access is described. As a result of the study, anatomical aspects and important structures were outlined, and a surgical protocol was defined for minimal risk access in respect to normal anatomy of the area. Conclusions: Thorough knowledge of topographic anatomy of the craniovertebral junction is required for performing minimal-risk surgical intervention in this region. It is important to know all anatomical aspects of the transnasal approach in order to reduce the risk of damage to vital structures. Transnasal endoscopic surgery of the craniovertebral junction is a relatively new direction in neurosurgery; therefore, anatomical studies such as the one described in this article are extremely important for the development of this access method. (Copyright © 2019 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Craniovertebral junction access; Endoscopic transnasal approach; Odontoid resection; Transnasal anatomy |
| تواريخ الأحداث: | Date Created: 20190915 Date Completed: 20200203 Latest Revision: 20200203 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.wneu.2019.09.011 |
| PMID: | 31520764 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1878-8769 |
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| DOI: | 10.1016/j.wneu.2019.09.011 |