A Method to Expose Paraclinoid Internal Carotid Artery Aneurysms with Minimal Risk
| Autor: | Idomari Koji, Yuichiro Tanaka, Tada Tsuyoshi, Hisayoshi Takasawa, Kitazawa Kazuo, Koji Idomari, Yosuke Miyairi, Kazuhiro Hongo, Kazuo Kitazawa, Miyairi Yosuke, Hongo Kazuhiro, Kobayashi Shigeaki, Tsuyoshi Tada, Shigeaki Kobayashi, Tanaka Yuichiro, Takasawa Hisayoshi |
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| Rok vydání: | 2003 |
| Předmět: |
musculoskeletal diseases
Suction (medicine) medicine.medical_specialty Minimal risk business.industry medicine.medical_treatment education Clipping (medicine) equipment and supplies Resection Surgery Anterior clinoid process medicine.anatomical_structure medicine.artery otorhinolaryngologic diseases Optic nerve Medicine Internal carotid artery business Artery |
| Zdroj: | Surgery for Cerebral Stroke. 31:117-120 |
| ISSN: | 1880-4683 0914-5508 |
| Popis: | We describe a useful method to avoid injury to an optic nerve and an internal carotid artery during intradural bone resection in the paraclinoid region. A semicircular dural flap is turned with 2 threads over the anterior clinoid process. The flap is extended over the underlying structures with tapered spatulas to create a space for drilling the bone. The site for drilling was adequately exposed, and bone was drilled away smoothly without damaging the underlying artery and optic nerve in 18 patients with paraclinoid aneurysms. Advantages of this “protective dural flap” method include wide exposure for drilling, protection of the underlying structures from the drill head and suction tubes, and availability of their intermittent inspection during bone resection. |
| Databáze: | OpenAIRE |
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