Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-23T18:23:45.007Z Has data issue: false hasContentIssue false
  • English
  • Français

Endonasal, transmaxillary, transpterygoid approach to the foramen ovale: radio-anatomical study of surgical feasibility

Published online by Cambridge University Press:  22 October 2013

V E Kantola ,
G W McGarry  and
P M Rea
V E Kantola
Affiliation:
Laboratory of Human Anatomy, School of Life Sciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, Scotland, UK
G W McGarry
Affiliation:
Department of Ear, Nose and Throat Surgery, Glasgow Royal Infirmary, Scotland, UK
P M Rea*
Affiliation:
Laboratory of Human Anatomy, School of Life Sciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, Scotland, UK
*
Address for correspondence: Dr P M Rea, Laboratory of Human Anatomy, Thomson Building, School of Life Sciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow G12 8QQ, Scotland, UK Fax: +44 (0)141 330 4299 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

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.

Method:

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.

Results:

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.

Conclusion:

With the increasing popularity of image guidance and assisted navigation in endoscopic surgery, these findings increase anatomico-radiological understanding of the surgical approach investigated.

Keywords

Foramen OvaleSkull BaseEndoscopyMaxillary SinusAnatomic Landmarks
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 11 , November 2013 , pp. 1093 - 1102
Copyright
Copyright © JLO (1984) Limited 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Tiwari, R, Quak, J, Egeler, S, Smeele, L, Waal, I, Valk, P et al. Tumors of the infratemporal fossa. Skull Base Surgery 2000;10:1–9CrossRefGoogle ScholarPubMed
2Hosseini, SMS, Razfar, A, Carrau, RL, Prevedello, DM, Fernandez-Miranda, J, Zanation, A et al. Endonasal transpterygoid approach to the infratemporal fossa: correlation of endoscopic and multiplanar CT anatomy. Head Neck 2012;34:313–20CrossRefGoogle Scholar
3Eloy, JA, Murray, KP, Friedel, ME, Tessema, B, Liu, JK. Graduated endoscopic multiangle approach for access to the infratemporal fossa: a cadaveric study with clinical correlates. Otolaryngol Head Neck Surg 2012;147:369–78CrossRefGoogle Scholar
4Theodosopoulos, PV, Guthikonda, B, Brescia, A, Keller, JT, Zimmer, LA. Endoscopic approach to the infratemporal fossa: anatomic study. Neurosurgery 2010;66:196–202CrossRefGoogle Scholar
5Ong, BC, Gore, PA, Donnellan, MB, Kertesz, T, Teo, C. Endoscopic sublabial transmaxillary approach to the rostral middle fossa. Neurosurgery 2008;62:30–7Google Scholar
6El-Sayed, I, Pletcher, S, Russell, M, McDermott, M, Parsa, A. Endoscopic anterior maxillotomy: infratemporal fossa via transnasal approach. Laryngoscope 2011;121:694–8CrossRefGoogle ScholarPubMed
7Harvey, RJ, Sheehan, PO, Debnath, NI, Schlosser, RJ. Transseptal approach for extended endoscopic resections of the maxilla and infratemporal fossa. Am J Rhinol Allergy 2009;23:426–32CrossRefGoogle ScholarPubMed
8Komotar, RJ, Starke, RM, Raper, DMS, Anand, VK, Schwartz, TH. Endoscopic skull base surgery: a comprehensive comparison with open transcranial approaches. Br J Neurosurg 2012;26:637–48CrossRefGoogle ScholarPubMed
9Eloy, JA, Vivero, RJ, Hoang, K, Civantos, FJ, Weed, DT, Morcos, JJ et al. Comparison of transnasal endoscopic and open craniofacial resection for malignant tumors of the anterior skull base. Laryngoscope 2009;119:834–40CrossRefGoogle ScholarPubMed
10McCoul, ED, Anand, VK, Schwartz, TH. Improvements in site-specific quality of life 6 months after endoscopic anterior skull base surgery: a prospective study. J Neurosurg 2012;117:498–506CrossRefGoogle ScholarPubMed
11Pant, H, Bhatki, AM, Snyderman, CH, Vescan, AD, Carrau, RL, Gardner, P et al. Quality of life following endonasal skull base surgery. Skull Base 2010;20:35–40CrossRefGoogle ScholarPubMed
12Abergel, A, Cavel, O, Margalit, N, Fliss, DM, Gil, Z. Comparison of quality of life after transnasal endoscopic vs open skull base tumor resection. Arch Otolaryngol Head Neck Surg 2012;138:142–7CrossRefGoogle ScholarPubMed
13Suzuki, M, Nakamura, Y, Nakayama, M, Inagaki, A, Murakami, S, Takemura, K et al. Modified transnasal endoscopic medial maxillectomy with medial shift of preserved inferior turbinate and nasolacrimal duct. Laryngoscope 2011;121:2399–401CrossRefGoogle ScholarPubMed
14de Almeida, JR, Snyderman, CH, Gardner, PA, Carrau, RL, Vescan, AD. Nasal morbidity following endoscopic skull base surgery: a prospective cohort study. Head Neck 2011;33:547–51CrossRefGoogle ScholarPubMed
15Hofstetter, CP, Singh, A, Anand, VK, Kacker, A, Schwartz, TH. The endoscopic, endonasal, transmaxillary transpterygoid approach to the pterygopalatine fossa, infratemporal fossa, petrous apex, and the Meckel cave. J Neurosurg 2010;113:967–74CrossRefGoogle Scholar
16Komatsu, F, Komatsu, M, Di Ieva, A, Tschabitscher, M. Endoscopic approaches to the trigeminal nerve and clinical consideration for trigeminal schwannomas: a cadaveric study. J Neurosurg 2012;117:690–6CrossRefGoogle Scholar
17Prevedello, DM, Kassam, AB, Snyderman, C, Carrau, RL, Mintz, A, Thomas, A et al. Endoscopic cranial base surgery: ready for prime time? Clin Neurosurg 2007;54:48–57Google ScholarPubMed
18Schwartz, TH, Fraser, JF, Brown, S, Tabaee, A, Kacker, A, Anand, VK. Endoscopic cranial base surgery: classification of operative approaches. Neurosurgery 2008;62:991–1002Google ScholarPubMed
19Kassam, AB, Gardner, P, Snyderman, C, Mintz, A, Carrau, R. Expanded endonasal approach: fully endoscopic, completely transnasal approach to the middle third of the clivus, petrous bone, middle cranial fossa, and infratemporal fossa. Neurosurg Focus 2005;19:1–10Google Scholar
20Herzallah, IR, Germani, R, Casiano, RR. Endoscopic transnasal study of the infratemporal fossa: a new orientation. Otolaryngol Head Neck Surg 2009;140:861–5CrossRefGoogle ScholarPubMed
21McCoul, E, Schwartz, T, Anand, V. Endoscopic approach to the infratemporal fossa. Operative Techniques in Otolaryngology 2011;22:285–90CrossRefGoogle Scholar
22Vilela, MD, Rostomily, RC. Temporomandibular joint-preserving preauricular subtemporal infratemporal fossa approach: surgical technique and clinical application. Neurosurgery 2004;55:143–53CrossRefGoogle ScholarPubMed
23Mansour, OI, Carrau, RL, Snyderman, CH, Kassam, AB. Preauricular infratemporal fossa surgical approach: modifications of the technique and surgical indications. Skull Base 2004;14:143–51CrossRefGoogle ScholarPubMed
24Otolaryngology and Facial Plastic Surgery: Skull base infratemporal fossa approach. In: eMedicine. 2009 http://emedicine.medscope.com/article/851375-overview [1 September 2012]Google Scholar
25Sun, X-C, Li, H, Liu, Z-F, Hu, L, Yu, HP, Wang, JJ et al. Endoscopic assisted sublabial and buccolabial incision approach for juvenile nasopharyngeal angiofibroma with extensive infratemporal fossa extension. Int J Pediatr Otorhinolaryngol 2012;76:1501–6CrossRefGoogle ScholarPubMed
26Defreitas, J, Lucente, FE. The Caldwell-Luc procedure: institutional review of 670 cases: 1975–1985. Laryngoscope 1988;98:1297–300CrossRefGoogle ScholarPubMed
27Low, WK. Complications of the Caldwell-Luc operation and how to avoid them. Aust N Z J Surg 1995;65:582–4CrossRefGoogle Scholar
28Abuzayed, B, Tanriover, N, Canbaz, B, Akar, Z, Gazioglu, N. Lateral sublabial endoscopic approach to foramen ovale: a novel endoscopic technique to access infratemporal fossa. J Craniofac Surg 2010;21:1241–5CrossRefGoogle ScholarPubMed
29Cai, WW, Zhang, GH, Yang, QT, Wang, ZYLiu, X, Li, Y. Endoscopic endonasal anatomy of pterygopalatine fossa and infratemporal fossa: comparison of endoscopic and radiological landmarks [in Chinese]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2010;45:843–8Google ScholarPubMed
30Eloy, JA, Reyes, SA, Germani, R, Liu, JK, Casiano, RR. High-resolution computed tomography analysis of the medial infratemporal fossa: a pilot study. Int Forum Allergy Rhinol 2012;2:432–4CrossRefGoogle ScholarPubMed
31Ray, B, Gupta, N, Ghose, S. Anatomic variations of foramen ovale. Kathmandu Univ Med J 2005;3:64–8Google ScholarPubMed
32Nafte, M. Assessing the remains. In: Saunders, S, Denning, K, eds. Flesh and Bone, an Introduction to Forensic Anthropology. Durham, North Carolina: Carolina Academic Press, 2000;83–115Google Scholar
33White, TD, Folkens, PA. The skeletal biology of individuals and populations. In: Folkens, PA, ed. The Human Bone Manual. Burlington, Massachusetts: Elsevier Academic Press, 2005;360–418Google Scholar
34Ilayperuma, I. On the prediction of personal stature from cranial dimensions. Int J Morphol 2010;28:1135–40CrossRefGoogle Scholar