| Autor: |
Chainey, Jonathan, Lau, Ruth, Papatsoutsos, Efstathios, de Almeida, John, Zadeh, Gelareh, Kalyvas, Aristotelis |
| Předmět: |
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| Zdroj: |
Journal of Neurological Surgery. Part B. Skull Base; 2024 Supplement, Vol. 85, pS1-S398, 398p |
| Abstrakt: |
This article discusses the use of different surgical approaches for enhanced endoscopic petrosectomy safety in addressing lesions in the petrous apex and petroclival region of the skull base. The traditional transtemporal and middle fossa transpetrosal strategies have been effective, but the endoscopic endonasal approach has shown promise. The study compares the ipsilateral transpterygoid (ITP) approach and the contralateral transmaxillary (CTM) approach, evaluating their visualization, angle of attack, reach, and safety. Both approaches demonstrated extensive reach and equivalent visualization capabilities, but the CTM approach was perceived to have heightened safety in drilling certain segments due to a reduced angle of attack and less retraction on the carotid artery. The choice between the two approaches should be based on intraoperative assessments rather than preoperative imaging alone. [Extracted from the article] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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