Hipoglossal sinirin mikrocerrahi anatomisi ve karotid endarterektomi ile anatomik korelasyonları
Microsurgical anatomy of the hypoglossal nerve and its relationship with the carotid endarterectomy
- Tez No: 103136
- Danışmanlar: PROF.DR. ALİ TAŞÇIOĞLU
- Tez Türü: Tıpta Uzmanlık
- Konular: Nöroşirürji, Neurosurgery
- Anahtar Kelimeler: Belirtilmemiş.
- Yıl: 2001
- Dil: Türkçe
- Üniversite: Ankara Üniversitesi
- Enstitü: Tıp Fakültesi
- Ana Bilim Dalı: Nöroşirürji Ana Bilim Dalı
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: Belirtilmemiş.
Özet
Özet yok.
Özet (Çeviri)
SUMMARY: Carotid Endarterectomy (CEA), is a routine neurosurgical procedure in the treatment of ischemic cerebral symptoms secondary to atherosclerotic occlusive diseases. Although the risk of major neurologic deficits during CEA has recently decreased, high incidences of cranial nerve injuries still reported. Hypoglossal nerve lesions occur in 2 - 17 % during CEA. Especially bilateral hypoglossal nerve injury can cause to severe airway obstruction since the tongue tends to fall backwards. Retraction, stretching, clamping and transsection may cause to peripheral nerve damage during CEA. Because of near relationship between hypoglossal nerve (HN) and internal carotid artery (ICA), retraction may used to gain good surgical exposure especially at CEA procedures associated with high carotid plaques. In addition to traction injury the HN damage can be caused by the electrical diatermy using to control bleeding around the HN because the HN is tethered to the external carotid artery (ECA) by the descendan hypoglossi and sternocleidomastoid artery arising from the ECA also vascular connections are often tethered to the nerve arising from the carotid bifurcation. The transsection of the HN should be exceptional and it must be gained depth knowledge of normal and anomalous nerve topographic anatomy. Here, we aimed to describe“landmarks”to identify the HN easily along its whole extracranial trajectory at its close relationship with the adjacent structures especially carotid arteries. 43
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Başlık çevirisi yok
HAKAN YALÇIN
Doktora
Türkçe
1996
Veteriner HekimliğiSelçuk ÜniversitesiVeterinerlik Anatomisi Ana Bilim Dalı
PROF.DR. SADETTİN TIPIRDAMAZ