Endoscopic Anatomy and a Safe Surgical Corridor to the Anterior Skull Base

Kılınç, Mustafa Cemil; Başak, Hazan; Çoruh, Ayşegül Gürsoy; Mutlu, Merve; Guler, Tugba Morali; Beton, Süha; Cömert, Ayhan; Kahiloğulları, Gökmen

doi:10.1016/j.wneu.2020.09.106

Cited by 7 publications

(5 citation statements)

References 29 publications

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“…Initially, 2583 articles underwent evaluation. Ultimately, 38 articles met the required criteria and were included in this meta-analysis [ 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ]. The studies that were included in the analysis presented a low risk of bias in the AQUA score [ 50 ].…”

Section: Resultsmentioning

confidence: 99%

“…Year of Publication Continent Country Method Arteries Studied Livashin Naidu [24] 2023 Africa South Africa CT + Cadavers 126 Nikma Fadlati Umar [26] 2022 Asia Malaysia CT 370 Melih Caklili [48] 2021 Asia Turkey Cadavers 6 Gian Luca Fadda [44] 2021 Europe Italy CT 440 Amr F. Hamour [40] 2020 North America Canada CT 60 Mustafa Cemil Kilinc [37] 2020 Asia Turkey Cadavers + CT 14 Mohamed A. Taha [28] 2020 North America USA CT 100 Teppei Takeda [27] 2020 Asia Japan CT 366 [26] 2022 Asia Malaysia CT 370 Melih Caklili [48] 2021 Asia Turkey Cadavers 6 Gian Luca Fadda [44] 2021 Europe Italy CT 440 Amr F. Hamour [40] 2020 North America Canada CT 60 Mustafa Cemil Kilinc [37] 2020 Asia Turkey Cadavers + CT 14 Mohamed A. Taha [28] 2020 North America USA CT 100 Teppei Takeda [27] 2020 Asia Japan CT 366 Mohammad Waheed El-Anwar [4] 2019 Africa/Asia Egypt CT 300 Baharudin Abdullah [51] 2018 Asia Malaysia CT 252 Jasmine P. Y. Kho [38] 2018 Asia Malaysia CT 108 Ana M. Lemos-Rodriguez [34] 2018 North America USA Cadavers 8 Marco Ferrari [43] 2017 Europe Italy Cadavers 28 Vinicius Tomadon Bortoli [33] 2017 South America Brazil CT 600 Eric Mason [32] 2015 North America USA CT 100 David W. Jang [39] 2014 North America USA CT 78 Young-Bum Ko [5] 2014 Asia South Korea CT 119 Yu Zong [25] 2014 Asia China Cadavers 16 Erdem Eren [45] 2013 Asia Turkey CT 298 Christian Güldner [41] 2011 Europe Germany CT 282 Francisco G. Pernas [31] 2011 North America USA CT 138 [20] 2010 Asia India CT 100 Bashar Abuzayed [49] 2009 Asia Turkey Cadavers 24 C. Arturo Solares [30] 2009 North America USA CT 8 You-xiong Yang [11] 2009 Asia China Cadavers 28 S. E. McDonald [21] 2008 Europe United Ki...…”

Section: First Authormentioning

confidence: 99%

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The Complete Anatomy of the Anterior Ethmoidal Artery: A Meta-Analysis with Implications for Sinus and Skull Base Surgery

Szczepanek,

Toppich,

Ostrowski

et al. 2024

JCM

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Background: The anatomical characteristics of the anterior ethmoidal artery (AEA) exhibit a high degree of variability, especially regarding its topography. Methods: PubMed, Scopus, Embase, Web of Science, Cochrane Library, and Google Scholar were searched to identify all studies that included information regarding the morphometric and topographical characteristics of the AEA. Results: Ultimately, a compilation of 38 studies meeting the predetermined criteria, and possessing comprehensive and pertinent data, were incorporated into the current meta-analysis. In the overall analysis, reports of the AEA being embedded within the skull base or at the level of the skull base producing a bony protrusion were found in 56.91% of cases (95% CI: 43.55–69.80%). The mean diameters of the AEA in the intraorbital and intracranial areas were 0.94 mm and 0.76 mm, respectively. Moreover, the artery coursed most commonly between the second and third lamellae, with a prevalence of 65.82% (95% CI: 55.39–75.56%). Conclusions: The AEA may be at a high risk of iatrogenic injury during various sinus and skull base surgeries, especially if the surgeon performing these procedures is unfamiliar with the vast number of variations this vessel may exhibit. The spatial relationship between this vessel and the skull base is especially variable, and understanding this variability goes hand in hand with intraoperative safety.

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Section: Resultsmentioning

confidence: 99%

Section: First Authormentioning

confidence: 99%

The Complete Anatomy of the Anterior Ethmoidal Artery: A Meta-Analysis with Implications for Sinus and Skull Base Surgery

Szczepanek,

Toppich,

Ostrowski

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

“…Physical models of skull base for preoperative planning are being made using 3-dimensional (3-D) printer which are technically challenging, resource driven and takes 6-24 hours to make one model based on type of 3-D printers. [1,5,9] Virtual models are being made available of some aspects in neurosurgery but physical models will be much more helpful in early part of the neurosurgical career. Virtual models are currently not accessible to all and are very costly.…”

Section: Discussionmentioning

confidence: 99%

Skull base dural reflection models: tool for teaching neuroanatomy at resource-scarce centers

et al. 2023

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BackgroundSkull base dural re ections are complex, and along with various ligaments joining sutures of skull base, are related to most important vessels like internal carotid arteries (ICA), vertebral arteries, jugular veins, cavernous sinus and cranial nerves make surgical approaches di cult and needs thorough knowledge and anatomy for safe dissection and satisfactory patient outcomes. Cadaver dissection is much more important for training of skull base anatomy in comparison to any other subspecialty of neurosurgery, however, such facilities are not available at most of the training institutes more so in low and middle income countries (LMICs). MethodsA glue gun (100-watt glue gun, Aptech deals, Delhi, India) was used to spread glue over the superior surface of bone of skull base over desired area (anterior, middle or lateral skull base). Once glue was spread over the desired surface uniformly, it was cooled under running tap water and the glue layer was separated from the skull base. Various neurovascular impressions were colored for ease of depiction and teaching. ResultInferior surface of dural re ections of the skull base is important for understanding neurovascular orientations of various structures entering or exiting the skull base. It was readily available, reproducible and simple for teaching neuroanatomy to the trainees of neurosurgery. ConclusionSkull base dural re ections made up of glue is an inexpensive, reproducible item which may be used for teaching neuroanatomy. It may be useful for trainees and young neurosurgeons especially at resource scarce health-care facilities.

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“…opticocarotid regions[1,4,8,9]. Optic nerve is a cone-shaped projection on the superolateral wall of the sphenoid sinus during the endoscopic approach[8].…”

mentioning

confidence: 99%

The Anatomical Landmarks in Endonasal Endoscopic Optic Nerve Decompression Surgery: An Anatomical Study

GÜLER

Başak

Güner

et al. 2023

Turkish Journal of Clinics and Laboratory

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Aim Optic nerve decompression can be applied for many pathologies that affect the optic canal and the optic nerve. Optic nerve decompression via endonasal endoscopic method is very popular in nowadays with the developments in endoscopic surgery. Material and Methods In this study, the lateral opticocarotid recess (LOCR) and the medial opticocarotid recess (MOCR) which are important anatomical landmarks used during transsphenoidal approach to the opticocarotid region were evaluated. The relations of these anatomical landmarks with each other and with important surrounding landmarks such as optic nerve were examined. Results MOCR were observed in all cadavers on the right side and in 4 of 5 cadavers on the left side. The superior border of the LOCR was measured as 4.85±1.94 mm in average on the right side and 3.93±1.11 mm in average on the left side. The inferior border of the LOCR was measured as 4.72±2.11 mm in average on the right side and 3.98±1.67 mm in average on the left side. The linear distance between the LOCR and the MOCR was measured as 3.11±1.41 mm in average on the right side and 2.46±1.36 mm in average on the left side. Conclusion It is necessary for a safe surgery to reveal the anatomical landmarks and to know the detailed anatomy of this region during optic nerve decompression.

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Endoscopic Anatomy and a Safe Surgical Corridor to the Anterior Skull Base

Cited by 7 publications

References 29 publications

The Complete Anatomy of the Anterior Ethmoidal Artery: A Meta-Analysis with Implications for Sinus and Skull Base Surgery

The Complete Anatomy of the Anterior Ethmoidal Artery: A Meta-Analysis with Implications for Sinus and Skull Base Surgery

Skull base dural reflection models: tool for teaching neuroanatomy at resource-scarce centers

The Anatomical Landmarks in Endonasal Endoscopic Optic Nerve Decompression Surgery: An Anatomical Study

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