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- W2393020843 abstract "Objective To study the anatomy and operation scheme of subtemporal transtentorial keyhole approach assisted with neuronavigation,and to investigate the clinical effect of this approach.Methods Using 12 cases of adult cadaver heads( 24 sides), simulating the subtemporal transtentorial keyhole approach,cavernous sinus Jiyan slanting area was exposed,neural navigation positioning specimens petrous internal structure,the maximum of petrous apex,the saddle back slope,structure and slope zone were observed. 11 cases of skull base tumors was performed by this approach,to explore the safety and utility of the approach. Results The parasellar region can be fully exposed by the approach,the cavernous sinus lesions involving both inside and outside can be the directly operatd through the operation of triangular lateral wall of cavernous sinus. The remaining petrous apex bone maximum average thickness was( 0. 8 ± 0. 19) mm after grinding petrous apex,inner angle increase( 8 ± 2. 5) °,posterolateral view increased( 25 ± 3. 2) °,compared with non navigation group,and get a( 3. 3 ± 0. 4) cm2 dural exposure,significantly expanded the scope of the posterior fossa exposure. Clinical data of total tumor resection in 6 cases,subtotal in 3 cases,and partial resection in 2 cases,operation time was shortened 1 to 1. 5 h compared with the past,new cranial nerve damage symptoms or the original brain nerve damage symptoms in 3 cases,no cases of long-term coma and operation related death. Conclusion Subtemporal transtentorial keyhole approach assisted with neuronavigation to the maximum extent exposed sphenopetroclival lesions,is conducive to improve the rate of total resection of tumor and the postoperative curative effect." @default.
- W2393020843 created "2016-06-24" @default.
- W2393020843 creator A5065268696 @default.
- W2393020843 date "2014-01-01" @default.
- W2393020843 modified "2023-09-23" @default.
- W2393020843 title "Microsurgical anatomy and clinical application of subtemporal transtentorial keyhole approach" @default.
- W2393020843 hasPublicationYear "2014" @default.
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