New method of percutaneous radiofrequency mandibular nerve rhizotomy guided by high-speed real-time computed tomography fluoroscopy with direct approaching view to foramen ovale.
New method of percutaneous radiofrequency mandibular nerve rhizotomy guided by high-speed real-time computed tomography fluoroscopy with direct approaching view to foramen ovale.
复制标题
高速实时计算机断层扫描透视引导的经皮射频下颌神经根切断术的新方法，可直接观察卵圆孔。
DOI：
10.1093/bja/aet237
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发表时间：
2013
影响因子：
9.8
通讯作者：
Saito S.
中科院分区：
文献类型：
--
作者：
Nakajima K;Koizuka S;Saito S.
编辑-高速实时计算机断层扫描（CT）透视引导下的神经阻滞是一种成熟的技术，尤其适用于下颌神经和半月神经节阻滞。1 2然而，对于下颌神经阻滞，我们通常使用外侧入路而不是前侧入路，以避免口内插入不当的并发症。CT扫描通常使用垂直于床的CT束进行，这要求针沿着CT的引导线垂直插入患者体内。然而，在该CT切片上，从皮肤直接进入卵圆孔是不可能的，因为骨骼结构覆盖了该路径;因此，针必须在CT切片上向尾侧插入1 mm，因为下颌神经被认为位于翼外板后缘卵圆孔的尾侧。在本研究中，我们评估了我们的新方法对卵圆孔的有效性
Editor—Nerve block guided by high-speed real-time computed tomography (CT) fluoroscopy is a well-established technique, especially for mandibular nerve and Gasserian ganglion block. 1 2 For mandibular nerve block, however, we typically use the lateral approach instead of the anterior approach to avoid the complications of inappropriate intraoral insertion.CT scans are usually performed with the CT beam vertical to the bed, which requires that the needle be inserted vertically into the patient along a guiding line from the CT. On this CT section, however, the direct approach from the skin to the foramen ovale is impossible because of the skeletal structures overlying the route; therefore, the needle must be inserted 1 mm caudal on the CT section because the mandibular nerve is considered to be located immediately caudal to the foramen ovale in the posterior margin of the lateral pterygoid plate. In the present study, we evaluated the efficacy of our new approach to the foramen ovale