摘要
内镜经鼻经翼突(pterygoid process,PP)入路是颅底手术入路中的基本入路,可以单独或联合其他手术入路处理蝶窦外侧隐窝(lateral recess of sphenoid sinus)、翼腭窝(pterygopalatine fossa,PPF)、海绵窦(cavernous sinus,CS)、眶尖(obital apex)、Meckel's腔(Meckel's cavity)、中颅窝(middle cranial fossa)、颞下窝(Infratemporal fossa,ITF)、岩尖(petrous apex)以及岩斜区的病变.由于上述结构复杂,经翼突入路到达上述结构的研究成为近年来颅底外科热点.以往的研究局限于该入路与翼腭窝、颞下窝等靶区的关系.本文主要对经翼突至翼腭窝、颞下窝、颅中窝、海绵窦、Meckel's腔、岩尖等区域的手术入路及其研究进展作一个综述.
Endoscopic trans-pterygoid process ( pterygoid process, PP) approach is the basic approach for skull base surgery. The approach can be used to treat the following lesions alone or in combination with other surgical approaches. Those diseases were involved in the regions, such as lateral sphenoidal recess, pterygopalatine fossa ( PPF), cavernous sinus( CS), orbital apex, Meckel's cavity, middle cranial fossa, infratemporal fossa(ITF), petrous apex and petroclival region. However, the importance of the transnasalpterygoid approach has not been fully appreciated. Due to the complexity of the above structures, in recent years, the research of transnasalpterygoid approach reaching the above structures has become a hot spot in the skull base surgery. Previous studies have been limited to the relationship between the approach and the target areas of pterygopalatine fossa and infratemporal fossa. This article mainly reviews the research progress of the surgical approaches from pterygoid process to pterygopalatine fossa, infratemporal fossa, middle cranial fossa, cavernous sinus, Meckel's cavity and petrous apex.
作者
颜丙会
江满杰
YAN Bing-hui;JIANG Man-jie(Nanjing Medical University,Nanjing 211166,China;Jinling Medical College of Nanjing Medical University,Nanjing 210002,China)
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2019年第3期323-326,332,共5页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词
鼻内镜
翼突入路
翼腭窝
颞下窝
海绵窦
岩尖
Meckel's腔
Nasal endoscopy
Pterygoid process approach
Pterygopalatine fossa
Infratemporal fossa
Cavernous sinus
Petrous apex
Meckel's cavity
