2014
DOI: 10.1002/lary.24594
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Analysis of the petrous portion of the internal carotid artery: Landmarks for an endoscopic endonasal approach

Abstract: An endonasal endoscopic approach to the infratemporal fossa with exposure of the petrous ICA is feasible. The anatomical landmarks can serve as both radiographic and surgical landmarks in this approach.

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Cited by 14 publications
(12 citation statements)
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“…Several authors have widely described the strict relationships with surrounding structures including the cochlea, the internal auditory canal and the bony labyrinth 10,15,16 , whereas very few studies have considered the metrical assessment of IPCA so far 6 . Most of literature have focused on the localization of IPCA according to reference points such as the foramen ovale, rotundum and spinosum 10,17,18 .…”
Section: Comparison With Literaturementioning
confidence: 99%
“…Several authors have widely described the strict relationships with surrounding structures including the cochlea, the internal auditory canal and the bony labyrinth 10,15,16 , whereas very few studies have considered the metrical assessment of IPCA so far 6 . Most of literature have focused on the localization of IPCA according to reference points such as the foramen ovale, rotundum and spinosum 10,17,18 .…”
Section: Comparison With Literaturementioning
confidence: 99%
“…Preservation of the ICA is demanded and techniques have been developed in order to assist the surgeon in its conservation. [2,[12][13][14][15][16][17][18] The Matas test (percutaneous compression of the carotid artery) and its newer variations have assisted the surgeon in the evaluation of carotid artery sacrifice and the need for bypass. First described in 1911 by Rudolph Matas, if percutaneous compression of the carotid artery produced neurological signs then it was inferred that the patient would not tolerate complete surgical occlusion.…”
Section: Fm MCmentioning
confidence: 99%
“…For females, the values were 16.4 mm from the rotundum and 4.36 mm each from the ovale and spinosum. [14] Additionally, their study made observations as to the existence and locations of any dehiscence of the carotid canal. Carotid canal dehiscence localization is of extreme importance during surgery with a frequency of approximately 20%.…”
Section: Fm MCmentioning
confidence: 99%
“…Surgery of the retrostyloid space (RSS) and of the infratemporal fossa (ITF) is increasingly done endoscopically . Some teams prefer open techniques, arguing better visual control, such as the maxillary swing approach .…”
Section: Introductionmentioning
confidence: 99%
“…Some teams prefer open techniques, arguing better visual control, such as the maxillary swing approach . However, both use an anterior approach and share the same major risk laterally, the internal carotid artery (ICA), which has a very close relationship with the nasopharyngeal wall . Although the intrapetrous, paraclival, and parasellar portions of the ICA have clear surgical landmarks due to their fixed position in the bony canals, the paranasopharyngeal portion, which is surrounded by soft tissue, does not have reliable surgical landmarks and is always hazardous to find.…”
Section: Introductionmentioning
confidence: 99%