中华耳科学杂志
中華耳科學雜誌
중화이과학잡지
Chinese Journal of Otology
2015年
3期
549-552
,共4页
方延青%邓瑞%欧熊%戴培东%刘杨文易%王冰%沙炎%陈兵
方延青%鄧瑞%歐熊%戴培東%劉楊文易%王冰%沙炎%陳兵
방연청%산서%구웅%대배동%류양문역%왕빙%사염%진병
面神经%中耳手术%定位%应用解剖%高分辨率CT(HRCT)
麵神經%中耳手術%定位%應用解剖%高分辨率CT(HRCT)
면신경%중이수술%정위%응용해부%고분변솔CT(HRCT)
facial nerve%middle ear surgery%applied anatomy%high resolution computed tomography(HRCT)
术中定位、识别和保护面神经一直是耳科医生共同关注的问题。准确地面神经术中定位,不仅要参考解剖学和影像学测量数据,还需要利用解剖结构之间的相对位置关系以弥补测量数据的误差或局限。同时,还需要尽量把复杂的问题简单实用化,使其更好地被临床医生利用。本文以临床应用为出发点,就常规中耳术中面神经的关系化定位问题进行综述。
術中定位、識彆和保護麵神經一直是耳科醫生共同關註的問題。準確地麵神經術中定位,不僅要參攷解剖學和影像學測量數據,還需要利用解剖結構之間的相對位置關繫以瀰補測量數據的誤差或跼限。同時,還需要儘量把複雜的問題簡單實用化,使其更好地被臨床醫生利用。本文以臨床應用為齣髮點,就常規中耳術中麵神經的關繫化定位問題進行綜述。
술중정위、식별화보호면신경일직시이과의생공동관주적문제。준학지면신경술중정위,불부요삼고해부학화영상학측량수거,환수요이용해부결구지간적상대위치관계이미보측량수거적오차혹국한。동시,환수요진량파복잡적문제간단실용화,사기경호지피림상의생이용。본문이림상응용위출발점,취상규중이술중면신경적관계화정위문제진행종술。
Identifying and protecting the facial nerve during surgeries are always a focus of concern for ear surgeons. Accurately locating the facial nerve during operations not only depends on the knowledge of anatomy and imaging data, but also requires an good understanding of key landmarks in relation to each other to make up for potential errors and limitations in conventional anatomical measurements. Meanwhile, complex facial nerve locating techniques must be streamlined and simplified to make them practical for daily use by most ear surgeons. This paper aims to review techniques of facial nerve lo-cating based on relational anatomy in routine middle ear surgeries from a perspective of clinical application.