[Transmaxillary approach to the skull base: surgical anatomy and guidelines].

• 发表时间: Dec 2008
• 来源期刊: Morphologie
• DOI: 10.1016/j.morpho.2008.10.002
• PMID: 19013095
• 文章类型: English Abstract
• 作者列表: Seizeur R,Forlodou P,Simon A,Gerard R,Person H,Lefèvre C,Sénécail B,Besson G

Mesh: Carotid Artery Injuries / prevention & control; Carotid Artery, Internal / anatomy & histology; Cranial Nerve Injuries / prevention & control; Female; Humans; Intraoperative Complications / prevention & control; Male; Maxilla / surgery; Maxillary Artery / anatomy & histology injuries; Microsurgery / methods; Paranasal Sinus Diseases / surgery; Pituitary Diseases / surgery; Skull Base / surgery

Abstract

BACKGROUND: A surgical and anatomic approach to the skull base using the transmaxillary route is presented. This route is well-known and used for a long time for sinus conditions.
METHODS: This study was performed on injected cadavers. This study describes step by step this approach in microsurgical conditions following a vital lead: the infraorbital nerve.
RESULTS: Anatomical landmarks are located in order to avoid complications. These complications are on one hand, hemorrhages by vascular lesions and on the other, definitive nerve palsy.
CONCLUSIONS: Several skull base approaches exist, transfacial routes produce cosmetic damages. This route preserves the functional anatomy of the nose because it preserves the integrity of the lateral wall of the nasal cavity.