内镜经鼻蝶颅咽管瘤切除术 ppt课件

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Part 1
Septectomy
3
Worn the posterior septum bone,and removal the mucosal on left side of posterior septum with a monopolar needle
Surgical procedures
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Part 2:Surgical experience
I Separat the Tu and optic chiasm：initially with blunt dissect to define the interface，followed by sharp resection based in it if necessary
SO
flap stem
Blood vessel of vascularized septum flap is sphenopalatine artery
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Surgical procedures
Part 1
Harvest vascularized septum flap
2
2梅先英 带蒂粘膜瓣_01.mpg
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Part 1:Surgical procedures
Preoperative preparation
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Part 1:Surgical procedures
Operating Room Setup
麻醉 机
Equipment furnishing
护士 副器械台
主器械 台
ppt课件
Surgical procedures
Part 1
Remove skull base bone
Principle:maximum removal of bone to create a wide surgical corridor
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planum sphenoidale sphenoid sinus floor
3秦和平 打开鼻中隔后部MPEG.mpg SO
The left mucosal flap can used as a rescue flap in skull base reconstruction
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sphenoid sinus wall sphenoid sinus wall
Surgical procedures
4
Part 1:Surgical procedures
Operating Principle
Binarial four-hands technique
ppt课件
Double suction cannula technique
5
Part 1
1 Remove left turbinate
Surgical procedures
Part 1
Remove skull base bone
Principle:maximum removal of bone to create a wide surgical corridor
5
planum sphenoidale sphenoid sinus floor
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cavernous wall cavernous wall
5杨木发 磨开鞍底（鞍底整体取下） MPEG.mpg
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Surgical procedures
Part 1
Dural opening
“工” Shapedபைடு நூலகம்opening
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6秦和平 工字切硬膜 mpeg.mpg
Annular opening
7杨木发 环形剪开硬 膜Mpeg.mpg
ppt课件
1梅先英 切鼻甲MPEG2.mpg
Exposure Sphenoid ostium
—in sphenoethmoid recess
SO
SO
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Surgical procedures
Part 1
Harvest a vascularized septum flap
2
vascularized septum flap
Part 1
Sphenoidotomy
——Skull anatomy landmarks
4
Sphenoid platform
OP
OP
Saddleonodule
CAP
CAP
mOCR
Clival recess
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cavernous wall cavernous wall
Surgical procedures
Surgical procedures
Part 1
Sphenoidotomy
——Exposure range
4
ethmoid sinus posterior cells planum sphenoidale
sphenoid sinus floor
4秦和平 打开蝶窦MPEG.mpg
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Surgical procedures
11梅先英 分离视交叉 下粘连mpeg.mpg
12周季玉 锐性分离视 交叉下部MPEG.mpg
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Part 2:Surgical experience
15
Surgical procedures
Part 1
Tumar recection
7
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Part 1
Multilayer skull base reconstruction
Surgical procedures
9梅先英 标准
重建颅底
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mpeg.mpg
10杨德全 颅底重建 骨窗大用脂肪加固 MPEG2.mpg
Expended Endoscopic Endonassal Transsphenoidal Craniopharyngioma
Ressection
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Table of Contents
• Part 1:Surgical procedures • Part 2:Surgical experience • Part 3:Case presentation
Part 1
Sphenoidotomy
——Exposure range
4
ethmoid sinus posterior cells planum sphenoidale
sphenoid sinus floor
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sphenoid sinus wall sphenoid sinus wall