التفاصيل البيبلوغرافية
| العنوان: |
Combined Endoscopic Endonasal Transclival and Contralateral Transmaxillary Approach to the Petrous Apex and the Petroclival Synchondrosis: Working "Around the Corner" of the Internal Carotid Artery—Quantitative Anatomical Study and Clinical Applications |
| المؤلفون: |
Donofrio, Carmine Antonio1,2 (AUTHOR) carmine.donofrio@hotmail.com, Corrivetti, Francesco3 (AUTHOR) corrivettifrancesco@hotmail.it, Riccio, Lucia1 (AUTHOR) dott.luciariccio@libero.it, Corvino, Sergio3,4 (AUTHOR) matteodenotaris@gmail.com, Dallan, Iacopo5 (AUTHOR), Fioravanti, Antonio1 (AUTHOR) antonio.fioravanti@asst-cremona.it, de Notaris, Matteo3,4,5,6,7 (AUTHOR) |
| المصدر: |
Journal of Clinical Medicine. May2024, Vol. 13 Issue 9, p2713. 12p. |
| مصطلحات موضوعية: |
*INTERNAL carotid artery, *POSTEROLATERAL corner, *CLINICAL medicine, *QUANTITATIVE research, *HUMAN dissection, *PITUITARY tumors, *OPERATIVE surgery |
| مستخلص: |
The endoscopic contralateral transmaxillary (CTM) approach has been proposed as a potential route to widen the corridor posterolateral to the internal carotid artery (ICA). In this study, we first refined the surgical technique of a combined multiportal endoscopic endonasal transclival (EETC) and CTM approach to the petrous apex (PA) and petroclival synchondrosis (PCS) in the dissection laboratory, and then validated its applications in a preliminary surgical series. The combined EETC and CTM approach was performed on three cadaver specimens based on four surgical steps: (1) the nasal, (2) the clival, (3) the maxillary and (4) the petrosal phases. The CTM provided a "head-on trajectory" to the PA and PCS and a short distance to the surgical field considerably furthering surgical maneuverability. The best operative set-up was achieved by introducing angled optics via the endonasal route and operative instruments via the transmaxillary corridor exploiting the advantages of a non-coaxial multiportal surgery. Clinical applications of the combined EETC and CTM approach were reported in three cases, a clival chordoma and two giant pituitary adenomas. The present translational study explores the safety and feasibility of a combined multiportal EETC and CTM approach to access the petroclival region though different corridors. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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