The transpalpebral incision: its use in keyhole approaches to cranial base brain tumors
The transpalpebral incision: its use in keyhole approaches to cranial base brain tumors
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DOI：
10.1586/ern.10.144
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发表时间：
2010-11
影响因子：
4.3
通讯作者：
S. Raza;K. Boahene;A. Quiñones‐Hinojosa
中科院分区：
文献类型：
--
作者：
S. Raza;K. Boahene;A. Quiñones‐Hinojosa
现代神经外科的推动力一直是颅底病变微创方法的发展，作为更大，更复杂的颅底方法的替代方案。鼻内镜入路的引入为从筛状板到鞍和斜坡的中线颅底病变提供了一种创伤最小的入路。锁孔开颅术，如眶上开颅术，为所有三个颅窝的选择性病变提供了类似的解决方案。同时，随着对术后伤口愈合和美容的认识的提高，目前的趋势是也利用自然孔口（鼻内技术）和皮肤折痕。经眼睑切口--借用自眼部塑料--与眶上颅骨切开术配合使用，作为锁孔入路。在这篇简短的文章中，我们讨论了微创方法的当前趋势和使用经睑入路治疗各种肿瘤的注意事项。
The push in modern neurosurgery has been for the development of minimally invasive approaches for cranial base lesions, as an alternative to the larger, more complex skull base approaches. The introduction of endonasal endoscopic approaches provided a minimally traumatic approach to lesions in the midline skull base from the cribiform plate to the sella and clivus. The keyhole craniotomies, such as the supraorbital craniotomy, have provided a similar solution for select lesions in all three cranial fossae. Concurrently, with an improved appreciation on postoperative wound healing and cosmesis, the current trend is to also take advantage of natural orifices (endonasal techniques) and skin creases. The transpalpebral incision – borrowed from ocular plastics – has been paired with the supraorbital craniotomy as a keyhole approach. In this brief article, we discuss current trends in minimally invasive approaches and considerations in using the transpalpebral approach for a variety of tumors.