{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1571417127020885504.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"NAID","@value":"110008790793"}}],"dc:title":[{"@language":"ja","@value":"Pterional approach(蝶形骨縁到達法) : ピットフォール回避の知識(III 手術アプローチの選択とピットフォール-第24回微小脳神経外科解剖セミナーより-,微小脳神経外科解剖)"},{"@language":"en","@value":"Pterional Approach : How to avoid Complications(Microneurosurgical Anatomy)"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"ja","@value":"Pterional approachはトルコ鞍部周辺への到達法として頻繁に用いられ,脳神経外科医が最も習熟しておくべき手術アプローチである.このアプローチを完璧に習得すれば,他の手術アプローチを安全に行うための基本手技が速やかにマスターできる.本アプローチの原則は,脳と血管を損傷することなくトルコ鞍を中心とした頭蓋底部を必要十分露出することである.原疾患やシルビウス静脈の発達の程度によりDolenc approachをはじめとするさまざまな頭蓋内操作のバリエーションが存在する.シルビウス静脈やsphenoparietal sinusの処理,temporopolar approach,視神経管開放,前床突起切除,鞍結節切除,硬膜輪切開など,さまざまな術野拡大の技法がある."},{"@language":"en","@value":"The pterional approach is arguably the most popular surgical approach for neurosurgeons. Therefore, we should understand and experience this approach properly. The other surgical approaches can be learned readily once this approach is mastered. The principle aspect of the pterional approach is an appropriate exposure of the parasellar area without damaging the brain and vessels. There are various surgical options based on the primary disease and patterns of the sylvian veins. We will discuss about methods for widening the pterional approach, including manipulation of the sylvian vein and sphenoparietal sinus, the temporopolar approach, optic unroofing, anterior clinoidectomy, resection of the tuberculum sellae, and section of the dural ring."}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1580291611032007168","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000016854945"}],"foaf:name":[{"@language":"ja","@value":"田中 雄一郎"},{"@language":"en","@value":"Tanaka Yuichiro"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"},{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"}]},{"@id":"https://cir.nii.ac.jp/crid/1581417127020885509","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"神野 崇生"},{"@language":"en","@value":"Kohno Takao"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"},{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"}]},{"@id":"https://cir.nii.ac.jp/crid/1581417127020885508","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"内田 将司"},{"@language":"en","@value":"Uchida Masashi"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"},{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"}]},{"@id":"https://cir.nii.ac.jp/crid/1581417127020885510","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"小菅 康史"},{"@language":"en","@value":"Kosuge Yasushi"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"},{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"}]},{"@id":"https://cir.nii.ac.jp/crid/1581417127020885507","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"小野寺 英孝"},{"@language":"en","@value":"Onodera Hidetaka"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"},{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"}]},{"@id":"https://cir.nii.ac.jp/crid/1581417127020885515","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"遠藤 秀"},{"@language":"en","@value":"Endou Shu"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"},{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"}]},{"@id":"https://cir.nii.ac.jp/crid/1581417127020885512","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"吉田 泰之"},{"@language":"en","@value":"Yoshida Yasuyuki"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"},{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"}]},{"@id":"https://cir.nii.ac.jp/crid/1581417127020885504","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"伊藤 英道"},{"@language":"en","@value":"Ito Hidemichi"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"},{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"}]},{"@id":"https://cir.nii.ac.jp/crid/1581417127020885511","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"平本 準"},{"@language":"en","@value":"Hiramoto Jun"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"},{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"}]},{"@id":"https://cir.nii.ac.jp/crid/1581417127020885514","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"森嶋 啓之"},{"@language":"en","@value":"Morishima Hiroyuki"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"},{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"}]},{"@id":"https://cir.nii.ac.jp/crid/1581417127020885513","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"榊原 陽太郎"},{"@language":"en","@value":"Sakakibara Yohtaro"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"},{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"}]},{"@id":"https://cir.nii.ac.jp/crid/1581417127020885506","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"橋本 卓雄"},{"@language":"en","@value":"Hashimoto Takuo"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"},{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"}]}],"publication":{"publicationIdentifier":[{"@type":"ISSN","@value":"0917950X"},{"@type":"NCID","@value":"AN10380506"}],"prism:publicationName":[{"@value":"脳神経外科ジャーナル"},{"@language":"en","@value":"Japanese journal of neurosurgery"}],"dc:publisher":[{"@value":"日本脳神経外科コングレス"},{"@language":"en","@value":"The Japanese Congress of Neurological Surgeons"}],"prism:publicationDate":"2011-10-20","prism:volume":"20","prism:number":"2","prism:startingPage":"160","prism:endingPage":"165"},"foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=pterional%20approach","dc:title":"pterional approach"},{"@id":"https://cir.nii.ac.jp/all?q=sphenoparietal%20sinus","dc:title":"sphenoparietal sinus"},{"@id":"https://cir.nii.ac.jp/all?q=sylvian%20vein","dc:title":"sylvian vein"},{"@id":"https://cir.nii.ac.jp/all?q=transsylvian%20approach","dc:title":"transsylvian approach"},{"@id":"https://cir.nii.ac.jp/all?q=pterional%20approach","dc:title":"pterional approach"},{"@id":"https://cir.nii.ac.jp/all?q=sphenoparietal%20sinus","dc:title":"sphenoparietal sinus"},{"@id":"https://cir.nii.ac.jp/all?q=sylvian%20vein","dc:title":"sylvian vein"},{"@id":"https://cir.nii.ac.jp/all?q=transsylvian%20approach","dc:title":"transsylvian 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