颞骨解剖训练课件.pptVIP

颞骨解剖训练 王武庆 训练准备 明确目的，根据实际情况，确定训练的内容。 熟悉解剖，观看图谱和录像，了解解剖的过程，节省时间。 参观别人解剖的过程，总结经验。 携带必要的记录设备。 训练准备 除饮料外，不要携带过多的个人物品，没有物品保管地方。 携带塑料袋，减少甲醛的溢出。 体力准备好，注意时间安排。 注意标本头位。 时间有限，尽快进入正题。 * * * It’s important that the middle fossa plate (MF) and the sigmoid sinus (SS) plate are identified at the beginning of the mastoidectomy, since they define the margin of the area to be drilled. The cavity should be saucerized. Removal of the bone from the area posterosuperior to the meatus opens the antrum (A) . The middle fossa plate (MF) is followed anteriorly toward the area superior to the meatus. The sinodural angle (SDA) has been opened. The arric is opened from the mastoid by extending the cavity anteriorly following the middle fossa plate. SDA The facial bridge is removed, the chorda tympani is saccrificed and the facial ridge is fully lowered, the cavity is completely saucerized. LP SP M LSC FR TM annulus At higher magnification, the long process of the incus (LP) , the stapedial tendon ( ) and the superstructure of the stapes are seen. The facial nerve runs just medial to short process of the incus. The anterior and superior suspensory ligaments of the malleus are seen anterosuperiorly and superiorly to the head of the malleus The posterior canal wall has been drilled and the tympanic membrane and ossicular chain removed. The facial nerve is skeletonized. The medial wall of the tympanic cavity is fully seen in the open cavity. The needle is pointing to removal of the footplate. The tympanic segment of the facial nerve runs beneath the needle. In the same specimen, the area inferior to the cochlea and the eustachian tube has been drilled. Retrofacial cells were driled toward the area of the jugular bulb, leaving the facial canal as a bony bridge. The carotid artery is seen under the thin, transparent, bony coverage. The carotid artery has been exposed. The artery runs just anterior to the apex of the cochlea, and inferomedial to the eustachian tube. The jugular bulb is seen