Anatomical Aspects of the Transnasal Endoscopic Access to the Craniovertebral Junction
Shkarubo A. N., Nikolenko V. N., Chernov I. V., Andreev D. N., Shkarubo M. A., Chmutin K. G., Sinel`nikov M. E.
World Neurosurgery
Vol.133, P. e293-e302
Опубликовано: 2020
Тип ресурса: Статья
DOI:10.1016/j.wneu.2019.09.011
Аннотация:
Objective: Interest in endoscopic transnasal access has increased with continued technological advances in endoscopic technology. The goals of this study were to review the normal anatomy in transnasal endoscopic neurosurgery and outline the anatomical basis for an expanded surgical approach. Defining anatomical aspects of surgical endoscopy helps guide the surgeon by defining normal anatomy of the access vector. Methods: This anatomic study was conducted on 15 adult male cadaver specimens using various microsurgical tools and endoscopic instruments and 1 intraoperative case. The vasculature was injected with colored silicone to aid visualization. Different transnasal approach techniques were used, with angles of endoscope access at 0°, 30°, 45°, and 70° accordingly for extensive anatomical mapping. Results: The proximity of critical structures is different in each approach degree. A full understanding of the possible structures to be met during transnasal access is described. As a res
Ключевые слова:
Craniovertebral junction access; Endoscopic transnasal approach; Odontoid resection; Transnasal anatomy
silicone; adult; Article; cadaver; endoscopic surgery; human; human tissue; male; microsurgery; neurosurgery; surgical anatomy; vascularization; anatomy and histology; cervical vertebra; natural orifice transluminal endoscopic surgery; neuroendoscopy; nose cavity; procedures; skull; Adult; Cadaver; Cervical Vertebrae; Humans; Male; Nasal Cavity; Natural Orifice Endoscopic Surgery; Neuroendoscopy; Skull
Язык текста: Английский
ISSN: 1878-8769
Shkarubo A. N.
Nikolenko V. N. Vladimir Nikolaevich 1956-
Chernov I. V. Il`ya Valeryevich 1992-
Andreev D. N.
Shkarubo M. A.
Chmutin K. G.
Sinel`nikov M. E. Mikhail Egorovich 1993-
Шкарубо А. Н.
Николенко В. Н. Владимир Николаевич 1956-
Чернов И. В. Илья Валерьевич 1992-
Андреев Д. Н.
Шкарубо М. А.
Чмутин К. Г.
Синельников М. Е. Михаил Егорович 1993-
Anatomical Aspects of the Transnasal Endoscopic Access to the Craniovertebral Junction
Текст визуальный непосредственный
World Neurosurgery
Vol.133 P. e293-e302
2020
Статья
Craniovertebral junction access Endoscopic transnasal approach Odontoid resection Transnasal anatomy
silicone adult Article cadaver endoscopic surgery human human tissue male microsurgery neurosurgery surgical anatomy vascularization anatomy and histology cervical vertebra natural orifice transluminal endoscopic surgery neuroendoscopy nose cavity procedures skull Adult Cadaver Cervical Vertebrae Humans Male Nasal Cavity Natural Orifice Endoscopic Surgery Neuroendoscopy Skull
Objective: Interest in endoscopic transnasal access has increased with continued technological advances in endoscopic technology. The goals of this study were to review the normal anatomy in transnasal endoscopic neurosurgery and outline the anatomical basis for an expanded surgical approach. Defining anatomical aspects of surgical endoscopy helps guide the surgeon by defining normal anatomy of the access vector. Methods: This anatomic study was conducted on 15 adult male cadaver specimens using various microsurgical tools and endoscopic instruments and 1 intraoperative case. The vasculature was injected with colored silicone to aid visualization. Different transnasal approach techniques were used, with angles of endoscope access at 0°, 30°, 45°, and 70° accordingly for extensive anatomical mapping. Results: The proximity of critical structures is different in each approach degree. A full understanding of the possible structures to be met during transnasal access is described. As a res