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Role of targeted magnetic resonance imaging sequences in the surgical management of anterior skull base pathology

Published online by Cambridge University Press:  20 October 2016

S Chawla ,
J Bowman ,
M Gandhi  and
B Panizza
S Chawla*
Affiliation:
Department of ENT Head and Neck Surgery, Princess Alexandra Hospital, Brisbane, Australia Department of ENT Head and Neck Surgery, Royal Adelaide Hospital, Australia School of Medicine, University of Queensland, Herston, Australia
J Bowman
Affiliation:
Department of ENT Head and Neck Surgery, Princess Alexandra Hospital, Brisbane, Australia
M Gandhi
Affiliation:
Department of ENT Head and Neck Surgery, Princess Alexandra Hospital, Brisbane, Australia
B Panizza
Affiliation:
Department of ENT Head and Neck Surgery, Princess Alexandra Hospital, Brisbane, Australia School of Medicine, University of Queensland, Herston, Australia
*
Address for correspondence: Dr Sharad Chawla, Department of ENT Head and Neck Surgery, Princess Alexandra Hospital, Brisbane, Queensland 4102, Australia Fax: +61 7 3176 5266 E-mail: [email protected]
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Abstract

Background:

The skull base is a highly complex anatomical region that provides passage for important nerves and vessels as they course into and out of the cranial cavity. Key to the management of pathology in this region is a thorough understanding of the anatomy, with its variations, and the relationship of various neurovascular structures to the pathology in question. Targeted high-resolution magnetic resonance imaging on high field strength magnets can enable the skull base surgeon to understand this intricate relationship and deal with the pathology from a position of relative advantage.

Objective:

With the help of case studies, this paper illustrates the application of specialised magnetic resonance techniques to study pathology of the orbital apex in particular.

Conclusion:

The fine anatomical detail provided gives surgeons the ability to design an endonasal endoscopic procedure appropriate to the anatomy of the pathology.

Keywords

MRISkull BaseEndoscopic Surgical Procedure
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 131 , Supplement S1 , January 2017 , pp. S57 - S61
Copyright
Copyright © JLO (1984) Limited 2016 

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