Surgical Anatomy of the Ethmoidal Arteries: A Laboratory Study of 150 Orbits

Kirchner, John A.; Yanagisawa, Eiji; Crelin, E. S.

doi:10.1001/archotol.1961.00740030391004

Cited by 91 publications

(55 citation statements)

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“…After crossing the ascending ethmoidal lamella, the vessel course becomes endocranic with anterior direction, parallel to the lamina cribrosa, in which it introduces several collateral vessels [5][6][7][8][9].…”

Section: Anatomymentioning

confidence: 99%

Evaluation of the anterior ethmoidal artery by 3D dual volume rotational digital subtraction angiography and native multidetector CT with multiplanar reformations. Initial findings

et al. 2006

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Our purpose is to codify the anterior ethmoidal artery (AEA) course and its relationship with adjacent structures. Twenty patients with cerebrovascular disease underwent selective internal carotid dual volume angiography. Fusion of the vascular and bony images was obtained successively on a second console. MDCT of the cranium was performed in all patients. To identify the AEA course, multiplanar CT reformations were obtained. In all cases the entry-point of AEA and its course were identified by means of dual volume angiography. The information was confirmed by MDCT. In a second phase, we studied another 78 patients affected by inflammatory disease and polyposis only by means of MDCT, in order to confirm the previous data obtained by comparison between angiography and MDCT. In this second phase, 110/156 vessels were indirectly detected by means of visualization of the ethmoidal entry point. In the remaining cases, AEA was directly shown due to integrity of the thin ethmoidal bone lamellae or bony canal. Dual volume angiography is essential to identify the course of the AEA (standard of reference for the interpretation of CT). In patients with benign rhinosinusal pathology, where invasivity techniques are not justified, MPR reconstructions were of pivotal importance in the evaluation of the course of the artery with particular reference to its relationship with the frontal recess.

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Section: Anatomymentioning

confidence: 99%

Evaluation of the anterior ethmoidal artery by 3D dual volume rotational digital subtraction angiography and native multidetector CT with multiplanar reformations. Initial findings

et al. 2006

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“…Moon et al 21 and Stammberger et al 12 reported lower frequencies of dehiscence (respectively 11.4% and 40%). Solares et al found no bone dehiscence in 16 dissected canals.…”

Section: Discussionmentioning

confidence: 93%

Ligadura endoscópica da artéria etmoidal anterior: estudo de dissecção em cadáveres

Filho¹,

Pinheiro‐Neto²,

Ramos

et al. 2011

Braz. j. otorhinolaryngol. (Impr.)

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Ant erior ethmoidal artery (AEA) ligation may be necessary in cases of severe epistaxis not controllable with traditional therapy. Endoscopic endonasal ligation of the AEA is not used frequently; there are few studies in the literature for standardization of the endoscopic technique for this vessel. Aim:To demonstrate the feasibility of periorbital AEA ligation in a transethmoidal endoscopic approach. Methods:A prospective study where 50 nasal cavities were dissected. After anterior ethmoidectomy and partial removal of lamina papyracea, the periorbital area was carefully dissected along a subperiosteal plane to identify the AEA. The vessel was exposed within the orbit and dissected.Results: Data on technical difficulties, complications, the learning curve and anatomical variations were gathered. Conclusion:An endonasal endoscopic approach to the AEA within the orbit was shown to be feasible. Identifying the artery is not difficult, and this technique avoids external incisions. This approach appears to be an excellent alternative for approaching the AEA. Further clinical studies are needed to demonstarte the benefits of this technique. Braz J Otorhinolaryngol. 2011;77(1):33-8. ORIGINAL ARTICLE

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“…While some individual variation exists with regard to the precise location of the anterior ethmoidal structures, numerous studies have described multiple anatomical landmarks to aid in the intraoperative identification of the foramen, canal, and artery. 10,20,28,31 A literature review of anatomical references that can be used to help identify the anterior ethmoidal artery and canal is presented in Table 1, with distances measured from the anterior crest of the nasolacrimal fossa, anterior axilla of the middle turbinate, anterior nasal spine, and the anterior face of the ethmoidal bulla. Similarly, the PEA can be identified based on the distance from the nasion, the optic foramen, or the anterior ethmoidal foramen as shown in Table 2.…”

Section: 44mentioning

confidence: 99%

Extracranial ligation of ethmoidal arteries before resection of giant olfactory groove or planum sphenoidale meningiomas: 3 illustrative cases with a review of the literature on surgical techniques

Manjila¹,

Cox²,

Smith³

et al. 2013

FOC

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Object There are several surgical techniques for reducing blood loss—open surgical and endoscopic—prior to resection of giant anterior skull base meningiomas, especially when preoperative embolization is risky or not technically feasible. The authors present examples of an institutional experience using surgical ligation of the anterior and posterior ethmoidal arteries producing persistent tumor blush in partially embolized tumors. Methods The authors identified 12 patients who underwent extracranial surgical ligation of ethmoidal arteries through either a transcaruncular or a Lynch approach. Of these, 3 patients had giant olfactory groove or planum sphenoidale meningiomas. After approval from the institution privacy officer, the authors studied the medical records and imaging data of these 3 patients, with special attention to surgical technique and outcome. The variations of ethmoidal artery foramina pertaining to this surgical approach were studied using preserved human skulls from the Hamann-Todd Osteological Collection at the Museum of Natural History, Cleveland, Ohio. Results The extracranial ligation was performed successfully for control of the ethmoidal arteries prior to resection of hypervascular giant anterior skull base meningiomas. The surgical anatomy and landmarks for ethmoidal arteries were reviewed in anthropology specimens and available literature with reference to described surgical techniques. Conclusions Extracranial surgical ligation of anterior, and often posterior, ethmoidal arteries prior to resection of large olfactory groove or planum sphenoidale meningiomas provides a safe and feasible option for control of these vessels prior to either open or endoscopic resection of nonembolized or partially embolized tumors.

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Surgical Anatomy of the Ethmoidal Arteries: A Laboratory Study of 150 Orbits

Cited by 91 publications

References 0 publications

Evaluation of the anterior ethmoidal artery by 3D dual volume rotational digital subtraction angiography and native multidetector CT with multiplanar reformations. Initial findings

Evaluation of the anterior ethmoidal artery by 3D dual volume rotational digital subtraction angiography and native multidetector CT with multiplanar reformations. Initial findings

Ligadura endoscópica da artéria etmoidal anterior: estudo de dissecção em cadáveres

Extracranial ligation of ethmoidal arteries before resection of giant olfactory groove or planum sphenoidale meningiomas: 3 illustrative cases with a review of the literature on surgical techniques

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