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Comparison of the Exposure Obtained by Endoscope and Microscope in the Extended Trans-Sphenoidal Approach

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Comparison of the Exposure Obtained by Endoscope and Microscope in the Extended Trans-Sphenoidal Approach
Id. 16434272
Idioma inglés
Titulo Comparison of the Exposure Obtained by Endoscope and Microscope in the Extended Trans-Sphenoidal Approach
Autor(es) Batay, Funda
Vural, Emre
Karasu, Aykut
Al-Mefty, Ossama
Localización http://www.pubmedcentral.gov/articlerender.fcgi?artid=1656946
Versión 1.0
Estado Final
Descripción Objective: Trans-sphenoidal surgery is often combined with other approaches for the treatment of middle cranial base tumors. By combining a maxillotomy with trans-sphenoidal approach, significantly wider exposure to these regions is gained. However, endoscope-assisted techniques have also been used for sellar and parasellar and upper clival regions. Methods: An extended trans-sphenoidal approach was performed on 10 cadaver heads using the operating microscope and was repeated with a 0-degree endoscope. The mean horizontal and vertical distances were measured and pictured for each technique, and both distances were compared using a parametric paired Student's t-test. Results: The mean horizontal distances in the 10 specimens were 19.5 ± 1.8 mm by microscope and 27.5 ± 2.2 mm by endoscope, and the mean vertical distances were 25.8 ± 1.9 mm by the microscope and 34.5 ± 3.5 mm by the endoscope. Conclusion: The aim of this study was to quantify the amount of exposure obtained with an extended trans-sphenoidal approach and to compare both endoscopic and microscopic techniques. Using the endoscope in conjunction with the operating microscope may provide additional exposure and better access in skull base surgery.
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Audiencia Estudiante
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Copyright
© 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.
Requerimientos técnicos Browser: Any
Fecha de contribución 03-dic-2006
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