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Titolo:
Technical refinements in retraction for middle fossa surgery
Autore:
Chen, DA; Arriaga, MA; Fukushima, T;
Indirizzi:
Allegheny,Gen Hosp, Pittsburgh Ear Associates, Div Otolaryngol, Neurol Sect Allegheny Gen Hosp Pittsburgh PA USA 15212 , Div Otolaryngol, Neurol Sect Allegheny Gen Hosp, Dept Neurosurg, Pittsburgh, PA 15212 USA Allegheny GenHosp Pittsburgh PA USA 15212 surg, Pittsburgh, PA 15212 USA
Titolo Testata:
AMERICAN JOURNAL OF OTOLOGY
fascicolo: 2, volume: 19, anno: 1998,
pagine: 208 - 211
SICI:
0192-9763(199803)19:2<208:TRIRFM>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Keywords:
retraction; middle fossa surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Chen, DA Allegheny,Gen Hosp, Pittsburgh Ear Associates, Div Otolaryngol, Neurol Sect Allegheny Gen Hosp 420 E N Ave,Suite 402 Pittsburgh PA USA 15212
Citazione:
D.A. Chen et al., "Technical refinements in retraction for middle fossa surgery", AM J OTOL, 19(2), 1998, pp. 208-211

Abstract

Objective: This report describes an alternative technique for exposure of the floor of the middle fossa. Study Design: Descriptive review of alternative middle fossa retraction techniques on a retrospective case series. Setting: Tertiary referral center. Patients: Patients undergoing middle fossa or combined petrosal craniotomywere studied. Interventions: Dural elevation was carried anteriorly past the middle meningeal artery to permit separation of the dura from connective tissue over the Gasserian ganglion. With the dural release, flexible spatula retractors (Fukushima) can be used. Results: The advantages of this technique are 1) this system is "low profile," with the back of the retractor posing no obstruction to vision or angle of instrument manipulation; 2) the anterior dural release permits extensive exposure with less force than is necessary when dural attachments to thetrigeminal nerve remain intact; and 3) anterior exposure of the clivus andpetrous apex is achieved without the need for transection of V3 (3rd division fifth cranial nerve). Conclusions: The authors find these refinements of practical benefit for breadth of exposure, visibility, and room for instrumentation during middle fossa surgery.

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Documento generato il 10/07/20 alle ore 15:13:21