Kawase教授,在Practical handbook of Neurosurgery,曾撰写章节How to perform transpetrosal approaches。 Kawase教授,撰写的经岩骨入路,分为两部分:岩前入路与岩后入路,即Anterior transpetrosal approach and Posterior transpetrosal approach。
在此章节的引言部分,曾有如下表述:
The middle fossa transpetrosal approach was originally developed by King in 1970, and so-called “extended middle fossa approach”, which was combined with middle fossa craniotomy and translabyrinthine approach . The method was mainly applied to acoustic tumors, but it was indicated to clival lesions by Hakuba et al.
An advantage of this approach is low risk of cerebellar damage to access more laterally to the brain stem. The disadvantages were sacrifice of hearing and venous complication (venous thrombosis of vein of Labbe and sigmoid sinus). Al-Mefty used this approach for more number of the petroclival meningiomas, by preservation of acoustic structures (posterior transpetrosal approach) .
In 1985 and 1994, Kawase reported the anterior transpetrosal approach for basilar trunk aneurysms and petroclival meningiomas by selected resection of petrous apex. The clival lesions were accessed by the shortest way to the area anterior to the internal auditory meatus (IAM) without sacrifice their hearing.
笔者,不禁想起那2017年12月,在天津海河颅底论坛,Kawase教授的演讲题目:Light-up the No-man’s Land on the Brain Stem-A History How to Find My Approach,其中的一张幻灯片是:经岩入路的文献复习,也是自1970年King TT的经迷路入路谈起。