Thieme｜颞下入路图解:各种符咒大全图解
神外数据库
神外前沿
Fig. 8.1 Illustration demonstrating the skin incision and craniotomy margins of the standard subtemporal approach (A)and the anterior or extended subtemporal approach (B). The superficial temporal artery and burr holes/craniotomy outline are marked.
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Fig. 8.2 Illustration demonstrating the operative field of the subtemporal transtentorial approach. Visualization of the basilar apex region (A)with cranial nerves (CN) III and IV as well as the posterior cerebral artery/posterior communicating artery (PCOM) with temporal lobe elevation. Tentorial incision and further dural dissection (B)enabling visualization of the basilar apex region, the Glasscock and Kawase triangles, greater (GSPN) and lesser superficial petrosal nerves, arcuate eminence (semicircular canals [SSC]), mandibular branch of the trigeminal nerve, abducens nerve, superior cerebellar artery (SCA), foramen ovale (FO), and spinosum (FS). Shadowed structures include Gasserian ganglion (Gg), superior petrosal sinus (SPS), and CN VII. BA, basilar artery; MMA, middle meningeal artery; V3, third division of the fifth cranial nerve (or mandibular branch of the trigeminal nerve).
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