Endoscopic endonasal anatomy of the nasopharynx in a cadaver model

Becker, Adam M.; Hwang, Peter H.

doi:10.1002/alr.21104

Cited by 13 publications

(13 citation statements)

References 21 publications

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“…Wen et al suggested novel orientation landmarks for EEN, including first the foramen lacerum laterally, then the eustachian tube isthmus posterosuperiorly, lateral pterygoid palate laterally, and longus capitis and stylopharygeal fascia posteriorly. The fossa of Rosenmuller (FOR) can be a useful landmark; however, the distance varies between the apex of the FOR and the PPICA, and the FOR is frequently compromised when performing EEN. The eustachian tube is also a good landmark, as it is always anterior and medial to the PPICA .…”

Section: Discussionmentioning

confidence: 99%

Endoscopic endonasal nasopharyngectomy: tensor veli palatine muscle as a landmark for the parapharyngeal internal carotid artery

Liu

Hsu

Shen

2017

Int Forum Allergy Rhinol

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Section: Discussionmentioning

confidence: 99%

Endoscopic endonasal nasopharyngectomy: tensor veli palatine muscle as a landmark for the parapharyngeal internal carotid artery

Liu

Hsu

Shen

2017

Int Forum Allergy Rhinol

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“…A limited number of anatomic cadaver studies and expert opinion reports have described the approach to ENP . Most reports focus on recurrent NPC.…”

Section: Sinonasal Malignanciesmentioning

confidence: 99%

“…This exposes the cartilaginous Eustachian tube, which can be removed. The limits of resectability are poorly defined and debatable, but some authors cite the clivus posterosuperiorly, lateral pterygoid plate laterally, inferior turbinate anteriorly, and the level of the soft palate inferiorly . The parapharyngeal ICA is at risk during dissection after removal of the pterygoid plates and is the oncologic limit of dissection.…”

Section: Sinonasal Malignanciesmentioning

confidence: 99%

ICAR: endoscopic skull‐base surgery

Wang

Zanation

Gardner

et al. 2019

Int Forum Allergy Rhinol

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151

279

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Background Endoscopic skull‐base surgery (ESBS) is employed in the management of diverse skull‐base pathologies. Paralleling the increased utilization of ESBS, the literature in this field has expanded rapidly. However, the rarity of these diseases, the inherent challenges of surgical studies, and the continued learning curve in ESBS have resulted in significant variability in the quality of the literature. To consolidate and critically appraise the available literature, experts in skull‐base surgery have produced the International Consensus Statement on Endoscopic Skull‐Base Surgery (ICAR:ESBS). Methods Using previously described methodology, topics spanning the breadth of ESBS were identified and assigned a literature review, evidence‐based review or evidence‐based review with recommendations format. Subsequently, each topic was written and then reviewed by skull‐base surgeons in both neurosurgery and otolaryngology. Following this iterative review process, the ICAR:ESBS document was synthesized and reviewed by all authors for consensus. Results The ICAR:ESBS document addresses the role of ESBS in primary cerebrospinal fluid (CSF) rhinorrhea, intradural tumors, benign skull‐base and orbital pathology, sinonasal malignancies, and clival lesions. Additionally, specific challenges in ESBS including endoscopic reconstruction and complication management were evaluated. Conclusion A critical review of the literature in ESBS demonstrates at least the equivalency of ESBS with alternative approaches in pathologies such as CSF rhinorrhea and pituitary adenoma as well as improved reconstructive techniques in reducing CSF leaks. Evidence‐based recommendations are limited in other pathologies and these significant knowledge gaps call upon the skull‐base community to embrace these opportunities and collaboratively address these shortcomings.

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“…In Germany, a new “Theatrum anatomicum,” similar to the ancient anatomical theatre provides an opportunity for learning anatomy and difficult surgical procedures outside the operating room by making use of cadavers [77]. In addition, many medical training centers conduct CD workshops in order to develop new surgical procedures [78, 79]. The institutions conducting specialty-specific training courses on cadavers are shown in Table 3.…”

Section: Current State Of CD In Medical Trainingmentioning

confidence: 99%

Cadaver Dissection Is Obsolete in Medical Training! A Misinterpreted Notion

Memon¹

2018

Med Princ Pract

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Cadaver dissection (CD) is considered a tool for studying the structural details of the human body. Lately, conflicting opinions regarding the utility of this modality in medical training have been published in medical literature. This review of the literature examines the status of anatomy teaching with CD in traditional, modern, and postgraduate medical training across the world. Literature published in the English language on topics related to CD in the past 3 decades was scrutinized using different search engines. About 200 full texts were reviewed. We describe how medical schools have continued to include CD in anatomy teaching in the traditional or modified form. Medical schools that stopped or decreased CD have learnt from their experiences, and have restarted it in modified forms by integrating it vertically with medical training. In addition, CD activities have increased in postgraduate anatomy courses, surgery training, and voluntary/optional CD programs. CD, when integrated vertically, still has a part to play in medical training in modified ways. This overview may help curriculum designers to place CD in medical curricula and training programs in a justified manner.

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Endoscopic endonasal anatomy of the nasopharynx in a cadaver model

Abstract: Surgical access to the nasopharynx has posed significant challenges in the treatment of recurrent or persistent nasopharyngeal carcinoma. This study demonstrated that endoscopic dissection of this region is feasible and has the potential to completely exenterate these lesions.

Cited by 13 publications

References 21 publications

Endoscopic endonasal nasopharyngectomy: tensor veli palatine muscle as a landmark for the parapharyngeal internal carotid artery

Endoscopic endonasal nasopharyngectomy: tensor veli palatine muscle as a landmark for the parapharyngeal internal carotid artery

ICAR: endoscopic skull‐base surgery

Cadaver Dissection Is Obsolete in Medical Training! A Misinterpreted Notion

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