引流:从颅底到尾骨
Skull-base surgery is a minimally invasive endoscopic procedure, which involves the surgeon inserting instruments through the natural openings in the skull—the nose or mouth—or by making a small hole just above the eyebrow. This type of surgery requires a team of specialists, which may include ENT (ear, nose, and throat), maxillofacial and neurosurgeons, as well as radiologists. The craniovertebral junction (CVJ) has a unique anatomical bone and neurovascular structure, which not only separates the subaxial cervical spine but also provides a special cranial flexion, extension and axial rotation pattern. As such, a sound knowledge of the basic principles of spine instrumentation and the region’s kinematics are essential when it comes to strategic preoperative planning.
颅底手术是一种微创内镜手术,涉及外科医生通过鼻腔或口腔的自然开口,或者在眉毛上方做一个小孔来插入器械。这种类型的手术需要一个多学科团队,可能包括耳鼻喉科(ENT)、颌面外科和神经外科医生,以及放射科医生。颅颈交界区(CVJ)具有独特的解剖骨骼和神经血管结构,不仅分隔了颈椎的下部区域,还提供了一种特殊的颅底屈曲、伸展和轴向旋转模式。因此,在进行战略术前规划时,对脊柱器械的基本原理以及该地区的运动学知识至关重要。
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