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Applied anatomy of far lateral suboccipital approach and its clinical experience
JI Yun-xiang WANG Ye-zhong* ZHAO Dong ZHU Li-cang DAI Lin-zhi TIAN Wei-dong
Acta Anatomica Sinica ›› 2016 ›› Issue (3) : 365-367.
Applied anatomy of far lateral suboccipital approach and its clinical experience
Objective To analyse the operative results of removing craniocervical junction region (CCJR),and its surgical techniques. Methods Micro-anatomy of craniocervical junction region was studied in 10 adult cadaver heads for simulation of far lateral suboccipital approach. The structure of the extension neck junction was observed. The far lateral suboccipital opproach was used on 26 cases with lesions surgery of the anterior or anterolateral CCJR. Results Of 26 patients, 9 patients were recovered and 17 patients improved. There were 14 cases of tumor resection, and 12 cases of subtotal resection. There was no operative mortality. Postopertive complications included facial paralysis in 2 cases, mild cranial nerve palsy in 1 case, and cerebrospinal fluid leakage in 1 case. Conclusion The far lateral suboccipital approach can extensively reveal the surgical field of the anterior and anterolaeral CCJR, and is an effective surgical resection of the lesion site.
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