Frontiers of Cranial Base Surgery: Integrating Technique, Technology, and Teamwork for the Future of Neurosurgery

模式 神经外科 医学 放射外科 医学物理学 外科 放射治疗 社会科学 社会学
作者
Corneliu Toader,Lucian Eva,Cătălina-Ioana Tătaru,Razvan-Adrian Covache-Busuioc,Bogdan-Gabriel Bratu,David-Ioan Dumitrascu,Horia Petre Costin,Luca-Andrei Glavan,Alexandru Vlad Ciurea
出处
期刊:Brain Sciences [Multidisciplinary Digital Publishing Institute]
卷期号:13 (10): 1495-1495 被引量:2
标识
DOI:10.3390/brainsci13101495
摘要

The landscape of cranial base surgery has undergone monumental transformations over the past several decades. This article serves as a comprehensive survey, detailing both the historical and current techniques and technologies that have propelled this field into an era of unprecedented capabilities and sophistication. In the prologue, we traverse the historical evolution from rudimentary interventions to the state-of-the-art neurosurgical methodologies that define today’s practice. Subsequent sections delve into the anatomical complexities of the anterior, middle, and posterior cranial fossa, shedding light on the intricacies that dictate surgical approaches. In a section dedicated to advanced techniques and modalities, we explore cutting-edge evolutions in minimally invasive procedures, pituitary surgery, and cranial base reconstruction. Here, we highlight the seamless integration of endocrinology, biomaterial science, and engineering into neurosurgical craftsmanship. The article emphasizes the paradigm shift towards “Functionally” Guided Surgery facilitated by intraoperative neuromonitoring. We explore its historical origins, current technologies, and its invaluable role in tailoring surgical interventions across diverse pathologies. Additionally, the digital era’s contributions to cranial base surgery are examined. This includes breakthroughs in endoscopic technology, robotics, augmented reality, and the potential of machine learning and AI-assisted diagnostic and surgical planning. The discussion extends to radiosurgery and radiotherapy, focusing on the harmonization of precision and efficacy through advanced modalities such as Gamma Knife and CyberKnife. The article also evaluates newer protocols that optimize tumor control while preserving neural structures. In acknowledging the holistic nature of cranial base surgery, we advocate for an interdisciplinary approach. The ecosystem of this surgical field is presented as an amalgamation of various medical disciplines, including neurology, radiology, oncology, and rehabilitation, and is further enriched by insights from patient narratives and quality-of-life metrics. The epilogue contemplates future challenges and opportunities, pinpointing potential breakthroughs in stem cell research, regenerative medicine, and genomic tailoring. Ultimately, the article reaffirms the ethos of continuous learning, global collaboration, and patient-first principles, projecting an optimistic trajectory for the field of cranial base surgery in the coming decade.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
du完成签到 ,获得积分10
刚刚
v1008完成签到,获得积分10
1秒前
绿酒发布了新的文献求助10
2秒前
勤奋的姒完成签到 ,获得积分10
2秒前
大模型应助x其妙采纳,获得10
2秒前
桐桐应助yu采纳,获得10
2秒前
包傲柔完成签到,获得积分10
2秒前
4秒前
4秒前
1464565388完成签到,获得积分10
5秒前
科研通AI5应助qczgzly采纳,获得10
6秒前
acaizr发布了新的文献求助10
7秒前
8秒前
韩_完成签到,获得积分10
8秒前
知犯何逆发布了新的文献求助10
8秒前
安静的棉花糖完成签到 ,获得积分10
9秒前
jiajia发布了新的文献求助30
11秒前
12秒前
12秒前
NexusExplorer应助poki采纳,获得10
12秒前
Chara_kara完成签到,获得积分10
13秒前
acaizr完成签到,获得积分10
13秒前
penguin完成签到,获得积分10
14秒前
14秒前
Chara_kara发布了新的文献求助10
15秒前
南城发布了新的文献求助10
15秒前
852应助Wangyn采纳,获得10
16秒前
song发布了新的文献求助10
19秒前
songkey完成签到,获得积分10
20秒前
20秒前
22秒前
小猫宝发布了新的文献求助10
22秒前
凝雁完成签到,获得积分10
24秒前
zjzjzjzjzj完成签到 ,获得积分10
25秒前
26秒前
田様应助聪慧的眼神采纳,获得10
27秒前
27秒前
知犯何逆发布了新的文献求助10
28秒前
28秒前
叶叶叶完成签到,获得积分10
29秒前
高分求助中
Les Mantodea de Guyane Insecta, Polyneoptera 2500
Technologies supporting mass customization of apparel: A pilot project 450
A Field Guide to the Amphibians and Reptiles of Madagascar - Frank Glaw and Miguel Vences - 3rd Edition 400
Brain and Heart The Triumphs and Struggles of a Pediatric Neurosurgeon 400
Cybersecurity Blueprint – Transitioning to Tech 400
Mixing the elements of mass customisation 400
Периодизация спортивной тренировки. Общая теория и её практическое применение 310
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 物理 生物化学 纳米技术 计算机科学 化学工程 内科学 复合材料 物理化学 电极 遗传学 量子力学 基因 冶金 催化作用
热门帖子
关注 科研通微信公众号,转发送积分 3785666
求助须知:如何正确求助?哪些是违规求助? 3331141
关于积分的说明 10250187
捐赠科研通 3046525
什么是DOI,文献DOI怎么找? 1672127
邀请新用户注册赠送积分活动 800994
科研通“疑难数据库(出版商)”最低求助积分说明 759970