CAJ | 학술논문

目的：总结各种骨瓣眶颧入路的应用解剖进展。方法在万方、CNKI及Pubmed等数据库查阅国内外各种不同骨瓣成形方式的眶颧手术入路的相关文献资料，并进行汇总分析。结果眶颧入路可分为单骨瓣眶颧入路、双骨瓣眶颧入路和三骨瓣眶颧入路，目前常用的为三骨瓣眶颧入路，该方法操作简便，在保障暴露效果的前提下，增加了术式的灵活性。结论眶颧入路的演变过程充分体现出随着相关应用解剖研究的进展，颅底外科从过分追求颅骨、病变切除的传统理念到兼顾患者安全、美观与生活质量的微创理念的变化。
목적：총결각충골판광권입로적응용해부진전。방법재만방、CNKI급Pubmed등수거고사열국내외각충불동골판성형방식적광권수술입로적상관문헌자료，병진행회총분석。결과광권입로가분위단골판광권입로、쌍골판광권입로화삼골판광권입로，목전상용적위삼골판광권입로，해방법조작간편，재보장폭로효과적전제하，증가료술식적령활성。결론광권입로적연변과정충분체현출수착상관응용해부연구적진전，로저외과종과분추구로골、병변절제적전통이념도겸고환자안전、미관여생활질량적미창이념적변화。
Objective To summarize the research progress on orbitozygomatic approach of different bone pieces. Methods To consult and analyze recent studies of orbitozygomatic approach from Wanfang, CNKI, Pubmed and other databases. Results Orbitozygomatic approach can be divided into one-piece, two-piece and three-piece orbitozygomatic approach, and three-piece orbitozygomatic approach has been widely used at present, which is easy to operate, under the premise of providing effective exposure, and increases the surgical flexibility. Conclusions The evolution of orbitozygomatic approach fully reflects the progress of related applications with the anatomy of the skull base surgery, from the traditional concept of pursuit excessive removal of the skull and lesion to balance security, changes in appearance and quality of life in patients with minimally invasive concept.