التفاصيل البيبلوغرافية
| العنوان: |
The anterolateral triangle as window on the foramen lacerum from transorbital corridor: anatomical study and technical nuances |
| المؤلفون: |
Corvino, Sergio, Armocida, Daniele, Offi, Martina, Pennisi, Giovanni, Burattini, Benedetta, Mondragon, Andres Villareal, Esposito, Felice, Cavallo, Luigi Maria, de Notaris, Matteo |
| المساهمون: |
Università degli Studi di Napoli Federico II |
| المصدر: |
Acta Neurochirurgica ; volume 165, issue 9, page 2407-2419 ; ISSN 0942-0940 |
| بيانات النشر: |
Springer Science and Business Media LLC |
| سنة النشر: |
2023 |
| مصطلحات موضوعية: |
Neurology (clinical), Surgery |
| الوصف: |
Objective Neurosurgical indications for the superior eyelid transorbital endoscopic approach (SETOA) are rapidly expanding over the last years. Nevertheless, as any new technique, a detailed knowledge of the anatomy of the surgical target area, the operative corridor, and the specific surgical landmark from this different perspective is required for a safest and successful surgery. Therefore, the aim of this study is to provide, through anatomical dissections, a detailed investigation of the surgical anatomy revealed by SETOA via anterolateral triangle of the middle cranial fossa. We also sought to define the relevant surgical landmarks of this operative corridor. Methods Eight embalmed and injected adult cadaveric specimens (16 sides) underwent dissection and exposure of the cavernous sinus and middle cranial fossa via superior eyelid endoscopic transorbital approach. The anterolateral triangle was opened and its content exposed. An extended endoscopic endonasal trans-clival approach (EEEA) with exposure of the cavernous sinus content and skeletonization of the paraclival and parasellar segments of the internal carotid artery (ICA) was also performed, and the anterolateral triangle was exposed. Measurements of the surface area of this triangle from both surgical corridors were calculated in three head specimens using coordinates of its borders under image-guide navigation. Results The drilling of the anterolateral triangle via SETOA unfolds a space that can be divided by the course of the vidian nerve into two windows, a wider “supravidian” and a narrower “infravidian,” which reveal different anatomical corridors: a “medial supravidian” and a “lateral supravidian,” divided by the lacerum segment of the ICA, leading to the lower clivus, and to the medial aspect of the Meckel’s cave and terminal part of the horizontal petrous ICA, respectively. The infravidian corridor leads medially into the sphenoid sinus. The arithmetic means of the accessible surface area of the anterolateral triangle were 45.48 ± ... |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1007/s00701-023-05704-5 |
| DOI: |
10.1007/s00701-023-05704-5.pdf |
| DOI: |
10.1007/s00701-023-05704-5/fulltext.html |
| الإتاحة: |
https://doi.org/10.1007/s00701-023-05704-5Test |
| حقوق: |
https://creativecommons.org/licenses/by/4.0Test ; https://creativecommons.org/licenses/by/4.0Test |
| رقم الانضمام: |
edsbas.88B9C9AF |
| قاعدة البيانات: |
BASE |
