儿童颅底病变和内镜手术  

Endoscopic surgery for skull base lesions in pediatric patients

作　　者：吴泽斌(综述) 邱前辉(审校)[1] WU Zebin;QIU Qianhui(Department of Otorhinolaryngology,Zhujiang Hospital,Southern Medical University,Guangzhou 510055,Guangdong,China;Department of Otorhinolaryngology,Shenzhen Children's Hospital,Shenzhen 518038,Guangdong,China)

机构地区：[1]广东省人民医院耳鼻咽喉科,广东广州510055 [2]深圳市儿童医院耳鼻咽喉科,广东深圳518038

出　　处：《山东大学耳鼻喉眼学报》2021年第3期112-117,共6页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：经鼻内镜颅底外科运用自然腔道充分暴露病变和周围神经血管,减少脑组织牵拉,提高手术疗效,现已被广泛应用。由于多数内镜颅底外科治疗方法和手术技术是在成人患者中积累的,面对复杂的颅底结构、不同年龄的解剖发育特点、病变对重要神经血管的侵犯等,儿童颅底病变的内镜手术治疗极具挑战性,国内少有大宗病例报道。对儿童颅底解剖和病变特点、内镜手术入路的选择、并发症的处理和颅底重建进行综述,并介绍具有代表性的病变,增加对儿童内镜颅底手术的进一步认识。Transnasal endoscopic approaches have been more frequently employed for navigating the natural orifice;this can optimally widen the operative field and,consequently,reduce brain tissue traction and improve surgical efficacy.Surgical interventions of skull base lesions require extensive training and experience,which is usually gained through cadaveric dissection or surgery in adults.Endoscopic surgery for skull base lesions in pediatric patients can be safe but challenging due to the sinonasal and skull base embryology,developmental anatomies,and invasion of critical structures.This review facilitates a better understanding of age-dependent endoscopic surgery by discussing pediatric skull base anatomies and lesions,endoscopic approaches,management complications,skull base reconstruction,and selected pathologies and conditions,among others.

关 键 词：儿童 颅底 经鼻入路 内镜手术 重建 

分 类 号：R765[医药卫生—耳鼻咽喉科]