측두엽의 표재성 수술 지표들과 심부 구조들과의 관계

• 영문명: Relationships of the Superficial Surgical Landmarks to the Deep Internal Structures of the Temporal Lobe: fiber dissection study
• 발행기관: 대한두개저학회
• 저자명: 최찬영(Chan Young Choi) 한성록(Seong Rok Han) 윤상원(Sang Won Yoon) 이기택(Gi Taek Yee) 황충진(Choong Jin Whang)
• 간행물 정보: 『대한두개저학회지』제1권 제1호, 5~10쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2006.06.30

영문 초록

This study was designed to examine the relationships of deep internal structures to the superficial surgical landmarks important to temporal lobe surgery using fiber dissections. The frontotemporal region was dissected by applying Klingler’ s fiber dissection technique to ten formalin-fixed human cerebral hemispheres. The dissections were performed under a microscope and imaged in the photographs. Several useful measurements to be needed in the temporal lobe surgery were also quantified. Several white matter fiber tracts in the frontotemporal region were constructed in an intricate pattern, just like a network. Most of the specimens, the anterior edge of the optic radiation reached almost the tip of the temporal horn and was located an average of 31.4mm (range, 28-34mm) behind the temporal pole and an average 12.2mm (range, 10-16mm) behind the limen insulae. The relationships of the superficial surgical landmarks (limen insulae, temporal pole, inferior circular sulcus) to the deep internal structures of the temporal lobe (esp. optic radiation) are discussed in this paper. Applying the anatomical knowledge from this study to the surgical plan will contribute to more precise surgery for the various pathological conditions in the frontotemporal region.

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키워드

Temporal Lobe Microsurgery Dissection