並列タイトル等経後頭顆到達法における後顆導出静脈の微小解剖学的破格に関する研究
一般注記BACKGROUND:
It is essential to identify and be aware of the anatomy of the posterior condylar emissary vein (PCEV) for achieving an adequate operative field for the transcondylar fossa approach (TCFA).
OBJECTIVE:
To describe the variations in the drainage patterns of PCEVs and the technical issues encountered in such cases.
METHODS:
This was a retrospective analysis of the anatomy of PCEVs in 104 sides in 52 cases treated by the TCFA. Preoperative findings of multidetector-row computed tomography (CT) and CT venography (CTV) were compared with the intraoperative findings. The drainage patterns were classified as 5 types: the sigmoid sinus (SS), jugular bulb (JB), occipital sinus (OS), anterior condylar emissary vein (ACEV), and marginal sinus (MS).
RESULTS:
The SS, JB, ACEV, and OS types were observed in 33 (31.7%), 42 (40.3%), 8 (7.7%), and 1 (1.0%) side(s), respectively. One side (1.0%) each had combined drainage from MS and JB, and ACEV and JB, respectively. In 17 sides (16.3%), the PCEVs and posterior condylar canals could not be identified on CT and CTV.
CONCLUSIONS:
Preoperative CT and CTV findings correlated well with the intraoperative findings. To make a sufficient operative field for TCFA, PCEVs should be appropriately dealt with based on the preoperative knowledge of their running course, pattern, and origin.
identifier:PMID:28521354
開始ページ : 382
終了ページ : 391
DOIinfo:doi/10.1093/ons/opw038.
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受理日(W3CDTF)2019-11-04T14:30:53+09:00
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