Anatomia endoscópica do seio esfenoidal

Murta, Alexandre Antonio; Carneiro, Christiano Giácomo; Felippu, Alexandre

doi:10.1590/s0034-72992002000400011

Cited by 3 publications

(4 citation statements)

References 18 publications

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“…Anatomical and literature reviews [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] were conducted, as well as studies on corpses and surgical observations of mucosae, blood vessels, and bone and nervous structures of the hard and soft palates and nasal septum, extending to the opening of the sphenoidal sinus and sella turcica.…”

Section: Anatomical Reviewmentioning

confidence: 99%

“…Located at the lateral wall below the internal carotid, also from top to bottom, are the abducens, maxillary, and vidian nerves. 30,33 The nasal fossa and oral cavity are lined with mucosa. The nasal fossa is lined with stratified squamous and respiratory-impairment, panhypopituitarism, or severe syndrome of inappropriate antidiuretic hormone secretion.…”

Section: Anatomical Reviewmentioning

confidence: 99%

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A Novel Technique for Transpalatal Hypophysectomy

Shinzato

Guardini

Cavalcanti

et al. 2019

J Neurol Surg B Skull Base

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Objective A novel technique is described for transpalatal hypophysectomy as an option for sellar region surgery using a microscope and/or endoscope. Technique A straight submucosal tunnel (approximately 20 mm in diameter; 40–50 mm long—half the length required by conventional transsphenoidal hypophysectomy) is dissected in favorable alignment with the main tumor axis, providing a direct view that allows the surgeon to operate on large suprasellar tumors, even in cases of extra-axial expansion. Results In a 25-year period, over 50 patients benefited from this surgery. Macroadenomas devoid of extra-axial expansions were totally excised (76.5%), otherwise, partially (23.5%). Forty-nine patients (98%) were extubated soon after surgery. Mean surgery duration was 3 hour 32 minute, with 2 days 6 hour before free feeding was restored. Postoperative hospitalization under neurosurgical care averaged 6 days 6 hour. Currently, patients undergoing the procedure do not require nasal tampons and can eat soft foods soon after recovery from anesthesia. Although two patients (3.9%) presented with oronasal fistulae postoperatively, no episodes of severe hemorrhage occurred during surgery and there were no cases of liquoric fistulae, visual impairment, panhypopituitarism, or severe syndrome of inappropriate antidiuretic hormone secretion. Conclusion The new surgical approach is safe, effective, and well accepted by patients, who reported low levels of discomfort. Postsurgical complications or sequela are currently rare, but further operations should be performed using more appropriate materials, instruments, and equipment to allow comparisons with other techniques.

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Section: Anatomical Reviewmentioning

confidence: 99%

Section: Anatomical Reviewmentioning

confidence: 99%

A Novel Technique for Transpalatal Hypophysectomy

Shinzato

Guardini

Cavalcanti

et al. 2019

J Neurol Surg B Skull Base

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show abstract

“…Mode is the most appropriate measure to be considered in this study. Therefore, the percentage, which is one of the key measures in statistics (Monteiro-Filho) and indicates the frequency of a structure, is a good quantitative method to be used, sometimes the only appropriate, as shown in some scientific articles on anatomy (Ferreira et al, 1997;Faria & Mariana, 2001;Murta et al, 2002;Silva & Ferreira, 2002).…”

Section: Introductionmentioning

confidence: 99%

A New Statistical Method for Comparative Anatomy

Aversi‐Ferreira

2009

Int. J. Morphol.

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Rules, formulas and statistical tests have been widely used in studies that use continuous variables in the normal or Gaussian distribution or other tests whose data fit this type of distribution (t and z distributions) and whose parameters can be defined. However, there are cases in which the model and goal of the scientific work allow only the use of discrete or nominal variables. The absence or presence of a structure or organ (muscles, nerves, blood vessels, bones, and ligaments), characteristics associated with these organs, such as the source of nerves, vessels and muscles and the distribution of nerves and vessels are discrete and / or nominal variables that do not fit the Gaussian distribution, nor of z or t, unless the measures of these structures are taken. A simple comparative method within the non-parametric distribution has been proposed, (1) between two different samples from the same species and (2) for two different species, based on the concepts of normal and variation in anatomy and on modal class in statistics here called Comparative Anatomy Index (IAC). The main findings on the use of this method are: (1) to allow the relationship between data from discrete or nominal variables in comparative anatomy or in other areas of morphology, (2) to generate an objective method (numerical) of comparison between samples of structures from the same species and between different species and (3) to fill the lack of a specific method for the statistical work in comparative anatomy or in morphology, in general.

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“…Tanto Kainz e Stammberger (1992) quanto Onodi com o nervo óptico é um denominador comum aos diversos estudos anatômicos Murta et al, 2002;, representando risco durante esfenoidotomias endoscópicas. Em nossa casuística, todas as células de Onodi apresentavam proeminência do nervo óptico na região posterior da célula.…”

Section: Célula De Onodiunclassified

Estudo da anatomia do seio esfenoidal através da dissecção endoscópica em cadáveres

Filho¹,

Cunha²

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2008A Deus, sempre iluminando meus passos, fazendo-me sentir sua presença quando menos espero, mostrando que realmente existe uma força maior que nos guia.Aos meu queridos pais, Bernardo e Augusta, que nunca mediram esforços para me oferecer o melhor. Exemplos de caráter, dignidade, ética, honestidade, educação, amor ao próximo, humildade, mostraram-me o quão importante é ter uma família. Por vocês, tenho saudades da minha infância, orgulho do presente e certeza do futuro!!! Obrigado por tudo, amo vocês!! À minha irmã, Érika, e ao meu cunhado Almir, meu elo com o passado, que sempre vão estar comigo nos momentos alegres e tristes. AgradecimentosAo Prof. Dr. Richard Louis Voegels, meu orientador, por ter despertado meu interesse na área de rinologia. Exemplo de pessoa determinada, competente, coerente e correta. Obrigado por ter acreditado que poderíamos chegar a esta etapa.Ao Prof. Dr. Ricardo Ferreira Bento, Professor Titular da Divisão de Clínica Otorrinolaringológica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), por me ter dado a oportunidade de aprender e ser treinado neste serviço de otorrinolaringologia de excelência. Exemplo de empreendedorismo e dedicação a esta clínica.Ao Prof. Dr. Aroldo Miniti, Professor Emérito de Otorrinolaringologia do HCFMUSP, por me ter estimulado e mostrado que ensinar não é criar concorrentes e, sim, conquistar amigos, abrindo portas para centenas de jovens médicos de várias regiões do Brasil.Ao Prof. Dr. Ossamu Butugan, minha gratidão pelos ensinamentos na área de rinologia e na relação médico-paciente. Do senhor levarei lições inesquecíveis, sempre ouvir o paciente, ter humildade, ética e levarei sobretudo, a sensação de que sempre haverá algo a aprender.Ao Prof. Dr. Luiz Ubirajara Sennes, pelos ensinamentos de valores éticos tanto na prática médica, quanto na pesquisa científica. Fez-me perceber que é possível conciliar ensino, pesquisa e assistência em todas as áreas da otorrinolaringologia com competência e dinamismo. Introduction: There are extremely important anatomic relationships between the sphenoid sinus (SS) and neurovascular structures. These structures may have several anatomic variations, which makes their relationship with the sphenoid sinus complex and carries risks of severe injuries during surgery. Objective: This prospective study used endoscopic cadaver dissection to describe details of SS anatomic variations and to evaluate agreement between sides and differences between sexes and ethnic groups. Casuistic and Methods: Fourty-five cadavers (90 nasal fossae) of both sexes ageing between 30 and 83 years underwent careful dissection of the sphenoid sinus. Distance from the SS anterior wall to the anterior nasal spine, the position and shape of the SS, the degree of SS pneumatization, the presence of Onodi cells, the dominance between sides, the insertion of the intersinus septum and crests, the presence of dehiscence and protrusions of the internal carotid artery (ICA), optic nerve (ON), maxillary and vidian nerves...

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Anatomia endoscópica do seio esfenoidal

Cited by 3 publications

References 18 publications

A Novel Technique for Transpalatal Hypophysectomy

A Novel Technique for Transpalatal Hypophysectomy

A New Statistical Method for Comparative Anatomy

Estudo da anatomia do seio esfenoidal através da dissecção endoscópica em cadáveres

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