Strategies for Improving Visualization During Endoscopic Skull Base Surgery - 27/11/15
Doi : 10.1016/j.otc.2015.09.008
Janalee K. Stokken, MD a, Ashleigh Halderman, MD b, Pablo F. Recinos, MD b, c, Troy D. Woodard, MD b, c, Raj Sindwani, MD b, c, ⁎ 
a Department of Otolaryngology, Head and Neck Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA
b Section of Rhinology, Sinus and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue/A71, Cleveland, OH 44195, USA
c Minimally Invasive Cranial Base and Pituitary Surgery Program, Burkhardt Brain Tumor and Neuro-Oncology Center, Neurological Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
∗Corresponding author. Head & Neck Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue/A-71, Cleveland, OH 44195.
Résumé |
The nasal cavity has a robust vascular supply, and bleeding is a primary obstacle to the minimally invasive skull base technique. Venous bleeding, including the cavernous sinus, can be managed with various techniques using hemostatic materials and pressure. A thorough understanding of the skull base vascular anatomy is vital for avoiding injury to major arteries and having confidence to control venous bleeding to optimize the endoscopic view and tumor resection.
Le texte complet de cet article est disponible en PDF.Keywords : Hemostasis, Endoscopic, Skull base, Surgery, Paranasal sinus, Cavernous sinus
Plan
| Financial Support: None. |
|
| Disclosures: None. |
© 2016
Elsevier Inc. Tous droits réservés.
Vol 49 - N° 1
P. 131-140 - février 2016 Retour au numéro
Article précédent
- Cerebrospinal Fluid Diversion in Endoscopic Skull Base Reconstruction : An Evidence-Based Approach to the Use of Lumbar Drains
- Duc A. Tien, Janalee K. Stokken, Pablo F. Recinos, Troy D. Woodard, Raj Sindwani
- An Overview of Anterior Skull Base Meningiomas and the Endoscopic Endonasal Approach
- Mahmoud Abbassy, Troy D. Woodard, Raj Sindwani, Pablo F. Recinos
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?