内镜经鼻入路咽旁段颈内动脉临床解剖研究进展
Advances in clinical anatomy of the transnasal approaches to the parapharyngeal segment of the internal carotid artery
丁樾 1孟庆国2
作者信息
- 1. 深圳大学医学部(广东深圳,518000)
- 2. 深圳大学第一附属医院 深圳市第二人民医院耳鼻咽喉头颈外科
- 折叠
摘要
位于颅内的颈内动脉节段走行于颅底骨性结构内或颅内,具有明确的解剖标志且解剖结构较为固定,而位于颅外的咽旁段颈内动脉被软组织包围,缺乏清晰可识别的解剖定位标志且常存在解剖变异,其与经鼻内镜手术关系密切,一旦在术中误伤会导致严重并发症甚至死亡.目前对于经鼻内镜下咽旁段颈内动脉相关的临床解剖学研究主要聚焦于其解剖变异与解剖标志.本文将从这两个方面进行综述,旨在为外科医师在经鼻内镜手术时提供解剖学参考从而降低手术风险.
Abstract
The intracranial segment of the internal carotid artery located inside the skeleton structure of skull base or inside the skull has clear anatomical landmarks and fixed anatomical structure.However,the parapharyn-geal segment of the internal carotid artery located outside the cranial is surrounded by soft tissues,lacks clear and recognizable anatomical landmarks and sometimes has anatomical variation,which is closely related to transnasal endoscopic surgery.Intraoperative accidental injury can lead to serious complications or even death.Currently,clinical anatomical studies related to the parapharyngeal segment of the internal carotid artery under transnasal en-doscopic surgery mainly focus on its anatomical variation and anatomical landmarks.This article reviews on these two aspects in order to provide anatomical reference for surgeons to reduce surgical risks during transnasal endo-scopic surgery.
关键词
鼻内镜手术/颈内动脉/解剖学/咽旁间隙Key words
endoscopic sinus surgery/internal carotid artery/anatomy/parapharryngeal space引用本文复制引用
基金项目
广东省医学科研基金项目(A2022158)
出版年
2024
NETL
NSTL
万方数据