Endoscopic anterior transmaxillary "transalisphenoid" approach to Meckel's cave and the middle cranial fossa: an anatomical study and clinical application


Truong H. Q. , Sun X., ÇELTİKÇİ E., Borghei-Razavi H., Wang E. W. , Snyderman C. H. , ...More

JOURNAL OF NEUROSURGERY, vol.130, no.1, pp.227-237, 2019 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 130 Issue: 1
  • Publication Date: 2019
  • Doi Number: 10.3171/2017.8.jns171308
  • Journal Name: JOURNAL OF NEUROSURGERY
  • Journal Indexes: Science Citation Index Expanded, Scopus
  • Page Numbers: pp.227-237
  • Keywords: anterior transmaxillary, transalisphenoid, Meckel's cave, middle cranial fossa, skull base, surgical technique, ENDONASAL APPROACH, TRIGEMINAL SCHWANNOMAS, SURGICAL-MANAGEMENT, PERINEURAL SPREAD, EPIDERMOID TUMOR, CAVERNOUS SINUS, NERVE, HEAD, OUTCOMES, SURGERY

Abstract

OBJECTIVE Multiple approaches have been designed to reach the medial middle fossa (for lesions in Meckel's cave, in particular), but an anterior approach through the greater wing of the sphenoid (transalisphenoid) has not been explored. In this study, the authors sought to assess the feasibility of and define the anatomical landmarks for an endoscopic anterior transmaxillary transalisphenoid (EATT) approach to Meckel's cave and the middle cranial fossa.