Comparative endoscopic anatomic study on endonasal transsphenoidal via anterior wall of sphenoid sinus approach and endonasal transsphenoidal via nasal septum-sphenoid sinus approach
WANG Hao, LI Yu, PENG Yu-ping, HAO Wen-wen, FAN Jun, SONG Wei-jian
Chinese Journal of Clinical Anatomy ›› 2016, Vol. 34 ›› Issue (4) : 361-365.
Comparative endoscopic anatomic study on endonasal transsphenoidal via anterior wall of sphenoid sinus approach and endonasal transsphenoidal via nasal septum-sphenoid sinus approach
Objective To compare endonasal transsphenoidal via anterior wall of sphenoid sinus approach with endonasal transsphenoidal via nasal septum-sphenoid sinus approach by imitation of the endoscopic surgery. Methods The head of 15 samples were dissected respectively via two above mentioned approaches as an imitation of the endoscopic surgery, and the distance between incision and external nostrils, maximum angle and range of swing were measured in the horizontal direction on operative route and other related anatomic parameters. Results Distances between incision and external nostrils of anterior wall of sphenoid sinus approach and nasal septum-sphenoid sinus approach are (5.19±0.15) cm versus (0.59±0.52) cm; maximum angle and range of swing in horizontal direction on operative route are (44.77±2.04)°versus (38.54±1.40)°, and (1.25±0.15) cm versus (0.68±0.05) cm. The correlation data of the two approaches were statistically significant（P<0.001）. Conclusions Endonasal transsphenoidal via nasal septum-sphenoid sinus approach incurs milder damage, enjoys short distance to the outside of the nose, clear positioning, wider operation space and larger perspective surgical approach, which is worthy of clinical promotion.
Endoscope / Nasal septum / Anterior wall of sphenoid sinus / Nasal surgery approach / Applied anatomy
[1] Guiot TG, Rougerie J, Fourestler A, et al. Une nouvelle techuique endoscopique:Exploration endscopiques intracranienne [J]. Presse Medicale, 1963, 7l(Part1):1225-1228 .
[2] Farrell CJ, Nyquist GG, Farag AA, et al. Principles of Pituitary Surgery[J].Otolaryngol Clin North Am. 2016,49(1):95-106.
[3] 漆松涛, 陆云涛, 黄传平, 等. 经蝶海绵窦手术相关动脉的解剖学研究[J]. 中国临床解剖学杂志, 2006, 24(5):489-492.
[4] Chi F, Wang Y, Lin Y, et al. A learning curve of endoscopic transsphenoidal surgery for pituitary adenoma[J]. J Craniofac Surg，2013,24(6): 2064-2067.
[5] Gulati SP, Wadhera R, Kumar A, et al. Comparative evaluation of middle meatus antrostomy with or without partial middle turbinectomy[J]. Indian J Otolaryngol Head Neck Surg，2010,62(4): 400-402.
[6] Zhao K, Malhotra P, Rosen D, et al. Computational fluid dynamics as surgical planning tool: a pilot study on middle turbinate resection[J]. Anat Rec (Hoboken)，2014, 297(11): 2187-2195.
[7] Nurse LA, Duncavage JA. Surgery of the inferior and middle turbinates[J]. Otolaryngol Clin North Am，2009, 42(2): 295-309.
[8] Bugten V, Nordgard S, Steinsvag S. The effects of debridement after endoscopic sinus surgery[J]. Laryngoscope， 2006,116(11): 2037-2043.
[9] 周建波, 肖旭平, 王继华, 等. 鼻内镜手术中保留中鼻甲基板水平骨性框架结构的研究[J]. 中华耳鼻咽喉头颈外科杂志，2010,45(3): 193-196.
[10]贾德泽, 李刚, 王云彦, 等. 神经导航单鼻腔蝶窦入路垂体腺瘤手术患者鞍区解剖结构的测量[J]. 山东医药，2012,52(2): 10-11.
[11]Das K, Spencer W, Nwagwu CI, et al. Approaches to the sellar and parasellar region: anatomic comparison of endonasal-transsphenoidal, sublabial-transsphenoidal, and transethmoidal approaches[J]. Neurol Res，2001, 23(1): 51-54.
[12]Cappabianca P, Cavallo LM, Solari D, et al. Endoscopic endonasal surgery for pituitary adenomas[J]. World Neurosurg，2014 ,82(6 Suppl):S3-11.
[13]彭玉平, 漆松涛, 张喜安, 等. 神经内镜下经单鼻孔-蝶窦入路垂体瘤手术鼻腔结构保护方法探讨[J]. 中国微侵袭神经外科杂志，2007,12(2): 85-86.
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