federalnoe gosudarstvennoe byudzhetnoe obrazovatelnoe uchrezhdenie vysshego obrazovaniya "Pervyj Sankt-Peterburgskij gosudarstvennyj meditsinskij universitet imeni akademika I.P. Pavlova" Ministerstva
发明人:
Kolegova Tatyana Evgenevna,Колегова Татьяна Евгеньевна,Yaremenko Andrej Ilich,Яременко Андрей Ильич
申请号：
RU2017125893
公开号：
RU0002656546C1
申请日:
2017.07.18
申请国别(地区):
RU
年份:
2018
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to maxillofacial surgery. Endoscopic access to the styloid process is performed by performing a linear incision of the skin in the hairy part of the occipital region from the projection of the condylar fossa of the occipital bone downward and proximal to the midline of the neck along the hairline. Dissect the subcutaneous fat, the superficial fascia, the superficial lamina of the fascia and the fibers of the trapezius muscle. Lateral portion of the fibers of the ascending part of the trapezius muscle is withdrawn upwards. Isolate, dissect and divert the lesser occipital nerve to the upper corner of the wound. In the upper parts of the scapulaclavicular triangle of the neck produce a dissection over the deep lamina of the fascia. Under the control of a rigid endoscope, a tunnel is formed parallel to the projection line of the edge of the body of the lower jaw. Fascial compartment of the sternocleidomastoid muscle in the region of its posterior leaf is opened, sub-muscular dissection is performed and the muscle is lifted up, the posterior belly of the digastric muscle are visualized and removed. Continue dissection forward and down, dissect the stylopharyngeal fascia and perform osteotomy of the styloid process above the place of its attachment to the lesser horn of the hyoid bone.EFFECT: method reduces postoperative complications, which is achieved due to the performed access, which allows creating clinically significant diastase between fragments of the styloid process.1 cl, 1 exИзобретение относится к медицине, а именно к челюстно-лицевой хирургии. Осуществляют эндоскопический доступ к шиловидному отростку, выполняя линейный разрез кожи в волосистой части затылочной области от проекции мыщелковой ямки затылочной кости вниз и проксимально к средней линии шеи вдоль линии роста волос. Рассекают подкожно-жировую клетчатку, поверхностную фасцию, поверхностную пластинку собственной фасции и волокна трапециев
