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Thieme概要|侧颅底解剖(2)

来源:车险   2024年01月21日 12:17

f the tympanic city and anastomosis between the facial nerve and the trigeminal nerve. ct: chorda tympani; fn: facial nerve; gg: geniculate ganglion; gspn: greater superficial petrosal nerve; ica: internal carotid artery; in: incus; lpsn: lesser petrosal superficial nerve; lsc: lateral semicircular c; ma: malleus; mcf: middle cranial fossa; pe: pyramidal eminence; rw: round window; sis: sigmoid sinus; sty: styloid process.

Fig. 1.17 (a, b) Topographic anatomy of the cranial nerves on the frontal surface of the brainstem and inside the cerebellopontine angle. (c) Acoustic-facial bundle inside the internal auditory c (IAC). aica: anterior inferior cerebellar artery; coc: cochlea; cocn: cochlear nerve; flo: floccules; fn: tympanic segment of facial nerve; fn*: mastoid segment of facial nerve; fn**: intrameatal facial nerve; gg: geniculate ganglion;Fig. 1.18 gspn: greater superficial petrosal nerve; iac: internal auditory c; in: incus; ivn: inferior vestibular nerve; lsc: lateral semicircular c; ma: malleus; psc: posterior semicircular c; sing: singular nerve ; ssc: superior semicircular c; svn: superior vestibular nerve.

Fig. 1.18 Lateral view of the cerebellopontine angle. The relationship between the cranial nerves and the temporal bone is shown. afb: acoustic-facial bundle; aica: anterior inferior cerebellar artery; baa: basilar artery; flo: floccules; fn(exit): facial nerve at the exit zone; fn: tympanic segment of facial nerve; fn*: mastoid segment of facial nerve; gg: geniculate ganglion; gspn: greater superficial petrosal nerve; iac: internal auditory c; ica(h): horizontal segment of internal carotid artery; ica(v): vertical segment of internal carotid artery; : jugular bulb; lsc: lateral semicircular c; mma: middle meningeal artery; pcf: posterior cranial fossa (dura layer); pr: promontory; psc: posterior semicircular c; rw: round window; sca: superior cerebellar artery; sis: sigmoid sinus; sps: superior petrosal sinus; ssc: superior semicircular c; va: vertebral artery; ve: vestibule.

Fig. 1.19 Temporal bone dissection (right side): (a) A mastoidectomy with c wall down procedure is performed exposing the tympanic city. The facial nerve is skeletonized in the mastoid. The retrofacial cells are removed connecting the mastoid to the hypotympanum (b). ct: chorda tympani; ed: eardrum; fn*: mastoid segment of facial nerve; in: incus; : jugular bulb; lsc: lateral semicircular c; ma: malleus; mcf: middle cranial fossa; sis: sigmoid sinus.

Fig. 1.20 Temporal bone dissection (right side): (a) The labyrinthectomy is performed. The semicircular cs are opened. (b) The vestibule is exposed. ed: eardrum; fn: tympanic segment of facial nerve; fn*: mastoid segment of facial nerve; gg: geniculate ganglion; in: incus; : jugular bulb; lsc: lateral semicircular c; ma: malleus; mcf: middle cranial fossa; pr: promontory; psc: posterior semicircular c; rw: round window; sis: sigmoid sinus; ssc: superior semicircular c; ve: vestibule.

Fig. 1.21 Temporal bone dissection (right side): (a) The internal auditory c (IAC) is skeletonized. (b) The transmastoid anatomy of the facial nerve inside the temporal bone is noted after the ossicular chain is removed. cp: cochleariform process; ed: eardrum; fn: tympanic segment of facial nerve; fn*: mastoid segment of facial nerve; gg: geniculate ganglion; ica(v): vertical portion of internal carotid artery; in: incus; : jugular bulb; ma: malleus; mcf: middle cranial fossa; rw: round window; s: stapes; sis: sigmoid sinus.

Fig. 1.22 Lateral view of lateral skull base: The anatomical relationship between the vascular and nervous structures is shown. et: eustachian tube; fn: facial nerve; gg: geniculate ganglion; ica(h): horizontal portion of internal carotid artery; ica(v): vertical portion of internal carotid artery; ips: inferior petrosal sinus; : jugular bulb; lsc: lateral semicircular c; mcf: middle cranial fossa; mma: middle meningeal artery; pr: promontory; psc: posterior semicircular c; sis: sigmoid sinus; sph: sphenoid; sps: superior petrosal sinus; ssc: superior semicircular c; tmj: temporal mandibular joint; zyg: zygomatic arch.

Fig. 1.23 (a) The jugular foramen anatomy (right side). (b) The lateral wall of the jugular bulb has been removed to expose the lumen of the vein. The opening of the inferior petrosal sinus into the lumen of the jugular bulb is noted. The lower cranial nerve runs from the brainstem to the upper neck through the jugular foramen passing medially to the jugular bulb. eca: external carotid artery; ica: internal carotid artery; ijv: internal jugular vein; imax: internal maxillary artery; ips: inferior petrosal sinus; sta: superficial temporal artery; tp: transverse process of atlas; va: vertebral artery.

Fig. 1.24 (a, b) Anatomy of the jugular foramen: the anteromedial (pars nervosa) compartment and the posterolateral (pars vascularis) compartment are noted. (c, d) Venous drainage through the jugular foramen. In the majority of cases the transverse sinuses are equal in size (c); asymmetric size of transverse sinuses with the dominant size and the narrow size in the contralateral portion (d). ips: inferior petrosal sinus; JB: jugular bulb.

Fig. 1.25 Endocranial anatomy of petrosal sinus (Right side). afb: acoustic-facial bundle; c: cernous sinus; gag: gasserian ganglion ; gg: geniculate ganglion; gspn: greater superficial petrosal nerve; ica: internal carotid artery; IJV: internal jugular vein; ips: inferior petrosal sinus; : jugular bulb; sps: superior petrosal sinus; ve: vestibule.

本文摘录自Thieme MedOne Neurosurgery,神外最之前沿早就赢取授权;非常多内容恳请借出Thieme MedOne Neurosurgery 分会

分会借出方式

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