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Endoscopic Endonasal Transsphenoidal Skull Base Surgery

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대한이비인후과학회 (Korean Society of Otorhinolaryngology-Head and Neck Surgery)|2010.03|대한이비인후과학회지 두경부외과학 (Korean Journal of Otorhinolaryngology-Head and Neck Surgery)|제53권 제3호|pp. 135-142

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주제분류이비인후과학

초록

Endoscopic skull base surgery has significantly developed than the past years because of the improved understanding of endonasal endoscopic skull base anatomy, developed endoscopic techniques and the changes of endoscopic technologies. From the management of inflammatory pathologies, we have learned to manage skull base lesions. Current anatomical knowledge with computer aided surgery has enabled surgeons to remove large lesions in the paranasal sinuses extending beyond the boundaries of the sinuses themselves. And so, the management of benign diseases with endoscope is nowadays well accepted whilst the role of endoscopic techniques in sinonasal malignancies is still under investigation. Nowadays, it is possible to tackle different pathologies placed not only in the ventral skull base, but also extended laterally (infratemporal fossa and petrous apex) and even, in really selected cases, within the orbit. At the moment, the improvement in surgical techniques has rendered endoscopic procedures capable of managing complex pathologies, according the same surgical principles of the open approaches. From now on, frameless neuronavigation, modular approaches, intraoperative imaging systems and robotic surgery are and will be an increasingly important part of endonasal surgery, and they will be overtaken by further evolution. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:135-42

Abstract

Endoscopic skull base surgery has significantly developed than the past years because of the improved understanding of endonasal endoscopic skull base anatomy, developed endoscopic techniques and the changes of endoscopic technologies. From the management of inflammatory pathologies, we have learned to manage skull base lesions. Current anatomical knowledge with computer aided surgery has enabled surgeons to remove large lesions in the paranasal sinuses extending beyond the boundaries of the sinuses themselves. And so, the management of benign diseases with endoscope is nowadays well accepted whilst the role of endoscopic techniques in sinonasal malignancies is still under investigation. Nowadays, it is possible to tackle different pathologies placed not only in the ventral skull base, but also extended laterally (infratemporal fossa and petrous apex) and even, in really selected cases, within the orbit. At the moment, the improvement in surgical techniques has rendered endoscopic procedures capable of managing complex pathologies, according the same surgical principles of the open approaches. From now on, frameless neuronavigation, modular approaches, intraoperative imaging systems and robotic surgery are and will be an increasingly important part of endonasal surgery, and they will be overtaken by further evolution. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:135-42

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관련 논문AI추천

Endoscopic Skull Base SurgerySteve C Lee대한이비인후과학회 · Clinical and Experimental Otorhinolaryngology2008 · 제1권 제2호부비동 및 두개저 병변에서 항법장치를 이용한 비내시경적 진단과 치료: 증례분석 12예김각, 임상철대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2006 · 제49권 제11호비중격피판을 이용한 두개저 재건양철원, 이건희대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2015 · 제58권 제1호후두개저와 비인강 병변에 대한 경비강 내시경 접근법원태빈대한이비인후과학회 부산,울산,경남 지부회 · 임상이비인후과2013 · 제24권 제1호전두개저 내시경 수술김동영대한이비인후과학회 부산,울산,경남 지부회 · 임상이비인후과2011 · 제22권 제2호술자 입장에서 바라본 비강 및 부비동 내시경 해부정승규대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2020 · 제63권 제5호

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