Endonasal, transmaxillary, transpterygoid approach to the foramen ovale: radio-anatomical study of surgical feasibility
This study aimed to examine the feasibility of an endonasal, transmaxillary, transpterygoid approach to the foramen ovale by examining key anatomical, radiological and surgical landmarks. Measurements were taken from 183 patients' computed tomography scans using BrainLAB iPlan 1.1 Cranial softw...
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| Veröffentlicht in: | Journal of laryngology and otology 2013-11, Vol.127 (11), p.1093-1102 |
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| creator | Kantola, V E McGarry, G W Rea, P M |
| description | This study aimed to examine the feasibility of an endonasal, transmaxillary, transpterygoid approach to the foramen ovale by examining key anatomical, radiological and surgical landmarks.
Measurements were taken from 183 patients' computed tomography scans using BrainLAB iPlan 1.1 Cranial software. Endoscopic dissection was then carried out on a cadaver to assess surgical viability.
We found that the distances from the posterior maxillary wall to the foramen ovale and from the anterior nasal spine to the foramen ovale were statistically significantly larger in men than women. The distance from the base of the lateral pterygoid plate to the foramen ovale, and the angle between the foramen ovale, the anterior nasal spine and the sphenoid rostrum, were constant between the sexes. The importance of the lateral pterygoid plate in locating the foramen ovale was demonstrated.
With the increasing popularity of image guidance and assisted navigation in endoscopic surgery, these findings increase anatomico-radiological understanding of the surgical approach investigated. |
| doi_str_mv | 10.1017/S0022215113002338 |
| format | Article |
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Measurements were taken from 183 patients' computed tomography scans using BrainLAB iPlan 1.1 Cranial software. Endoscopic dissection was then carried out on a cadaver to assess surgical viability.
We found that the distances from the posterior maxillary wall to the foramen ovale and from the anterior nasal spine to the foramen ovale were statistically significantly larger in men than women. The distance from the base of the lateral pterygoid plate to the foramen ovale, and the angle between the foramen ovale, the anterior nasal spine and the sphenoid rostrum, were constant between the sexes. The importance of the lateral pterygoid plate in locating the foramen ovale was demonstrated.
With the increasing popularity of image guidance and assisted navigation in endoscopic surgery, these findings increase anatomico-radiological understanding of the surgical approach investigated.</description><identifier>ISSN: 0022-2151</identifier><identifier>EISSN: 1748-5460</identifier><identifier>DOI: 10.1017/S0022215113002338</identifier><identifier>PMID: 24148265</identifier><identifier>CODEN: JLOTAX</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anatomic Landmarks - anatomy & histology ; Anatomic Landmarks - diagnostic imaging ; Cadavers ; Dissection ; Endoscopy ; Endoscopy - methods ; Feasibility Studies ; Female ; Foramen Ovale - anatomy & histology ; Foramen Ovale - diagnostic imaging ; Humans ; Infratentorial Neoplasms - diagnostic imaging ; Infratentorial Neoplasms - surgery ; Main Articles ; Male ; Middle Aged ; Otolaryngology ; Pterygopalatine Fossa - anatomy & histology ; Pterygopalatine Fossa - surgery ; Sex Factors ; Sinuses ; Skull Base - anatomy & histology ; Skull Base - surgery ; Software ; Statistical analysis ; Surgery ; Tomography ; Tomography, X-Ray Computed ; Tumors</subject><ispartof>Journal of laryngology and otology, 2013-11, Vol.127 (11), p.1093-1102</ispartof><rights>Copyright © JLO (1984) Limited 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-ed63a47eaa695fce4cf01e29e0fd40c83978a484300b09796315acd7ce1d54003</citedby><cites>FETCH-LOGICAL-c373t-ed63a47eaa695fce4cf01e29e0fd40c83978a484300b09796315acd7ce1d54003</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0022215113002338/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,27924,27925,55628</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24148265$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kantola, V E</creatorcontrib><creatorcontrib>McGarry, G W</creatorcontrib><creatorcontrib>Rea, P M</creatorcontrib><title>Endonasal, transmaxillary, transpterygoid approach to the foramen ovale: radio-anatomical study of surgical feasibility</title><title>Journal of laryngology and otology</title><addtitle>J. Laryngol. Otol</addtitle><description>This study aimed to examine the feasibility of an endonasal, transmaxillary, transpterygoid approach to the foramen ovale by examining key anatomical, radiological and surgical landmarks.
Measurements were taken from 183 patients' computed tomography scans using BrainLAB iPlan 1.1 Cranial software. Endoscopic dissection was then carried out on a cadaver to assess surgical viability.
We found that the distances from the posterior maxillary wall to the foramen ovale and from the anterior nasal spine to the foramen ovale were statistically significantly larger in men than women. The distance from the base of the lateral pterygoid plate to the foramen ovale, and the angle between the foramen ovale, the anterior nasal spine and the sphenoid rostrum, were constant between the sexes. The importance of the lateral pterygoid plate in locating the foramen ovale was demonstrated.
With the increasing popularity of image guidance and assisted navigation in endoscopic surgery, these findings increase anatomico-radiological understanding of the surgical approach investigated.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anatomic Landmarks - anatomy & histology</subject><subject>Anatomic Landmarks - diagnostic imaging</subject><subject>Cadavers</subject><subject>Dissection</subject><subject>Endoscopy</subject><subject>Endoscopy - methods</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Foramen Ovale - anatomy & histology</subject><subject>Foramen Ovale - diagnostic imaging</subject><subject>Humans</subject><subject>Infratentorial Neoplasms - diagnostic imaging</subject><subject>Infratentorial Neoplasms - surgery</subject><subject>Main Articles</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Otolaryngology</subject><subject>Pterygopalatine Fossa - anatomy & histology</subject><subject>Pterygopalatine Fossa - surgery</subject><subject>Sex Factors</subject><subject>Sinuses</subject><subject>Skull Base - anatomy & histology</subject><subject>Skull Base - surgery</subject><subject>Software</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed</subject><subject>Tumors</subject><issn>0022-2151</issn><issn>1748-5460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kUtP3DAUhS1UxAwDP6CbylI3LAi1YydxuqsQLwmJBWUd3bFvZjxK4qntUObf44EBVaCu_LjfOb7Xh5CvnJ1xxqsf94zlec4LzkXaCaH2yJRXUmWFLNkXMt2Ws219Qg5DWDGWRCw_IJNccqnyspiSvxeDcQME6E5p9DCEHp5s14Hf7M7riH6zcNZQWK-9A72k0dG4RNo6Dz0O1D1Chz-pB2NdBgNE11sNHQ1xNBvqWhpGv3i5aRGCndvOxs0R2W-hC3i8W2fk4fLi9_l1dnt3dXP-6zbTohIxQ1MKkBUClHXRapS6ZRzzGllrJNNK1JUCqWSaf87qqi4FL0CbSiM3hWRMzMjJq2_q_c-IITa9DRrThAO6MTRcllxVheJ1Qr9_QFdu9EPq7oUSIheqSBR_pbR3IXhsm7W3ffqvhrNmm0rzKZWk-bZzHuc9mnfFWwwJEDtT6OfemgX-8_Z_bZ8BOHaXrQ</recordid><startdate>201311</startdate><enddate>201311</enddate><creator>Kantola, V E</creator><creator>McGarry, G W</creator><creator>Rea, P M</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>201311</creationdate><title>Endonasal, transmaxillary, transpterygoid approach to the foramen ovale: radio-anatomical study of surgical feasibility</title><author>Kantola, V E ; McGarry, G W ; Rea, P M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-ed63a47eaa695fce4cf01e29e0fd40c83978a484300b09796315acd7ce1d54003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anatomic Landmarks - anatomy & histology</topic><topic>Anatomic Landmarks - diagnostic imaging</topic><topic>Cadavers</topic><topic>Dissection</topic><topic>Endoscopy</topic><topic>Endoscopy - methods</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Foramen Ovale - anatomy & histology</topic><topic>Foramen Ovale - diagnostic imaging</topic><topic>Humans</topic><topic>Infratentorial Neoplasms - diagnostic imaging</topic><topic>Infratentorial Neoplasms - surgery</topic><topic>Main Articles</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Otolaryngology</topic><topic>Pterygopalatine Fossa - anatomy & histology</topic><topic>Pterygopalatine Fossa - surgery</topic><topic>Sex Factors</topic><topic>Sinuses</topic><topic>Skull Base - anatomy & histology</topic><topic>Skull Base - surgery</topic><topic>Software</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kantola, V E</creatorcontrib><creatorcontrib>McGarry, G W</creatorcontrib><creatorcontrib>Rea, P M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of laryngology and otology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kantola, V E</au><au>McGarry, G W</au><au>Rea, P M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endonasal, transmaxillary, transpterygoid approach to the foramen ovale: radio-anatomical study of surgical feasibility</atitle><jtitle>Journal of laryngology and otology</jtitle><addtitle>J. Laryngol. Otol</addtitle><date>2013-11</date><risdate>2013</risdate><volume>127</volume><issue>11</issue><spage>1093</spage><epage>1102</epage><pages>1093-1102</pages><issn>0022-2151</issn><eissn>1748-5460</eissn><coden>JLOTAX</coden><abstract>This study aimed to examine the feasibility of an endonasal, transmaxillary, transpterygoid approach to the foramen ovale by examining key anatomical, radiological and surgical landmarks.
Measurements were taken from 183 patients' computed tomography scans using BrainLAB iPlan 1.1 Cranial software. Endoscopic dissection was then carried out on a cadaver to assess surgical viability.
We found that the distances from the posterior maxillary wall to the foramen ovale and from the anterior nasal spine to the foramen ovale were statistically significantly larger in men than women. The distance from the base of the lateral pterygoid plate to the foramen ovale, and the angle between the foramen ovale, the anterior nasal spine and the sphenoid rostrum, were constant between the sexes. The importance of the lateral pterygoid plate in locating the foramen ovale was demonstrated.
With the increasing popularity of image guidance and assisted navigation in endoscopic surgery, these findings increase anatomico-radiological understanding of the surgical approach investigated.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>24148265</pmid><doi>10.1017/S0022215113002338</doi><tpages>10</tpages></addata></record> |
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| ispartof | Journal of laryngology and otology, 2013-11, Vol.127 (11), p.1093-1102 |
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| subjects | Adult Aged Aged, 80 and over Anatomic Landmarks - anatomy & histology Anatomic Landmarks - diagnostic imaging Cadavers Dissection Endoscopy Endoscopy - methods Feasibility Studies Female Foramen Ovale - anatomy & histology Foramen Ovale - diagnostic imaging Humans Infratentorial Neoplasms - diagnostic imaging Infratentorial Neoplasms - surgery Main Articles Male Middle Aged Otolaryngology Pterygopalatine Fossa - anatomy & histology Pterygopalatine Fossa - surgery Sex Factors Sinuses Skull Base - anatomy & histology Skull Base - surgery Software Statistical analysis Surgery Tomography Tomography, X-Ray Computed Tumors |
| title | Endonasal, transmaxillary, transpterygoid approach to the foramen ovale: radio-anatomical study of surgical feasibility |
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