دورية أكاديمية
Endoscope-Controlled High Frontal Approach for Dural Arteriovenous Fistula in Anterior Cranial Fossa.
| العنوان: | Endoscope-Controlled High Frontal Approach for Dural Arteriovenous Fistula in Anterior Cranial Fossa. |
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| المؤلفون: | Uchida M; Department of Neurosurgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan., Tanikawa M; Department of Neurosurgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. Electronic address: mtnkw@med.nagoya-cu.ac.jp., Nishikawa Y; Department of Neurosurgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan., Yamanaka T; Department of Neurosurgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan., Ueki T; Department of Integrative Anatomy, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan., Mase M; Department of Neurosurgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. |
| المصدر: | World neurosurgery [World Neurosurg] 2023 Jul; Vol. 175, pp. e421-e427. Date of Electronic Publication: 2023 Apr 03. |
| 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: | Cranial Fossa, Anterior*/diagnostic imaging , Cranial Fossa, Anterior*/surgery , Central Nervous System Vascular Malformations*/diagnostic imaging , Central Nervous System Vascular Malformations*/surgery, Humans ; Skull Base/surgery ; Craniotomy/methods ; Ethmoid Bone/surgery |
| مستخلص: | Background: Currently, surgical obliterations are a mainstay for treating dural arteriovenous fistula (DAVF) in the anterior cranial fossa (ACF), which has high risks of hemorrhage and functional disorder. By introducing an endoscope into a high frontal approach and utilizing its advantages, we attempted to establish it as a new surgical procedure that eliminates the drawbacks of various approaches that have been used to date. Methods: By using 30 clinical datasets of venous-phase head computed tomography angiogram, measurements and comparisons on a 3-dimensional workstation were performed to identify the appropriate positioning of keyhole craniotomy for endoscope-controlled high frontal approach (EHFA). Based on these data, a cadaver-based surgery was simulated to verify the feasibility of EHFA and develop an efficient procedure. Results: In EHFA, though raising the position of the keyhole craniotomy made the operative field deeper, significant advantages were obtained in the angle between the operative axis and the medial-anterior cranial base and the amount of bone removal required at the anterior edge of craniotomy. Minimally invasive EHFA, performed through a keyhole craniotomy without opening the frontal sinus, proved to be feasible on 10 sides of 5 cadaver heads. Moreover, 3 patients with DAVF in ACF were successfully treated by clipping the fistula via EHFA. Conclusions: EHFA, which provided a direct corridor to the medial ACF at the level of the foramen cecum and crista galli and the minimum necessary operative field, was found to be a suitable procedure for clipping the fistula of DAVF in ACF. (Copyright © 2023 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Anterior cranial fossa; Dural arteriovenous fistula; Endoscope; High frontal approach |
| تواريخ الأحداث: | Date Created: 20230405 Date Completed: 20230628 Latest Revision: 20240626 |
| رمز التحديث: | 20240626 |
| DOI: | 10.1016/j.wneu.2023.03.116 |
| PMID: | 37019304 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1878-8769 |
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| DOI: | 10.1016/j.wneu.2023.03.116 |