Percutaneous Biopsy of Lesions in the Cavernous Sinus: A Systematic Review

Dellaretti, Marcos; Almeida, Júlio César de; Martins, Warley; Faria, Marcello Penholate

doi:10.1016/j.wneu.2017.08.089

Cited by 9 publications

(5 citation statements)

References 19 publications

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“…As for sexual dimorphism, the present article did not find any significant difference according to sex, whereas the literature reports that the foramen of Vesalius is more frequent in males [13]. Presence and topographic anatomy of the foramen of Vesalius, and the structures involved, may play an important role in nasopharyngeal tumor spread [13], and the surgical treatment of the middle cranial fossa for the biopsy of lesions of the cavernous sinus [33,37] and transcutaneous intervention for trigeminal neuralgia [38].…”

Section: Discussioncontrasting

confidence: 55%

Correlation Analysis on Anatomical Variants of Accessory Foramina in the Sphenoid Bone for Oncological Surgery

Palamenghi,

Cellina,

Cè

et al. 2023

Cancers

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The sphenoid bone presents several anatomical variations, including accessory foramina, such as the foramen meningo-orbitale, the foramen of Vesalius, the canaliculus innominatus and the palatovaginal canal, which may be involved in tumor invasion or surgery of surrounding structures. Therefore, clinicians and surgeons have to consider these variants when planning surgical interventions of the cranial base. The prevalence of each variant is reported in the published literature, but very little information is available on the possible correlation among different variants. Here, 300 CT scans of patients (equally divided among males and females) were retrospectively assessed to investigate the presence of the foramen meningo-orbitale, the foramen of Vesalius, the canaliculus innominatus and the palatovaginal canal. Possible differences in the prevalence of each accessory foramen according to sex were assessed, as well as possible correlations among different variants through the Chi-square test (p < 0.01). Overall, the prevalence of the foramen meningo-orbitale, the foramen of Vesalius, the canaliculus innominatus and the palatovaginal canal was 30.7%, 67.7%, 14.0% and 35.3%, respectively, without any difference according to sex (p > 0.01). A significant positive correlation was found between the foramen of Vesalius and canaliculus innominatus, both in males and in females (p < 0.01). In detail, subjects with canaliculus innominatus in 85.7–100.0% of cases also showed the foramen of Vesalius, independently from sex and side. The present study provided novel data about the prevalence of four accessory foramina of the sphenoid bone in an Italian population, and a correlation between the foramen of Vesalius and the canaliculus innominatus was found for the first time. As these accessory foramina host neurovascular structures, the results of this study are thus useful for appropriate planning surgical procedures that are tailored to the anatomical configuration of the patient and for improving techniques to avoid accidental injuries in cranial base surgery. Knowledge of the topography, frequencies and the presence/absence of these additional foramina are pivotal for a successful procedure. Clinicians and surgeons may benefit from these novel data for appropriate recognition of the variants, decision-making, pre-operative and treatment planning, improvement of the procedures, screening of patients and prevention of misdiagnosis.

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Section: Discussioncontrasting

confidence: 55%

Correlation Analysis on Anatomical Variants of Accessory Foramina in the Sphenoid Bone for Oncological Surgery

Palamenghi,

Cellina,

Cè

et al. 2023

Cancers

View full text Add to dashboard Cite

show abstract

“…Therefore, the quality of visualization of the skull base foramina is generally moderate at best. Such procedures are used for rhizotomy of the trigeminal nerve, temporal lobe electrode placement, balloon deployment to treat trigeminal neuralgia i.e., compression of the trigeminal ganglion, or cavernous sinus tumor biopsy [8][9][10][11]. In attempt to avoid surrounding foraminal during transcutaneous needle approaches to the foramen ovale, Tubbs et al [9], described a "safe zone" of the foramen ovale extending 6 mm around the circumference and excluding the entire territory around the foramen spinosum posterolaterally.…”

Section: Discussionmentioning

confidence: 99%

“…The distance between the foramen ovale and the enlarged foramen of Vesalius in our specimen was only 1.49 mm. Although there will be a protective effect from cartilage filling the foramen lacerum, the ICA is also at risk of damage if the needle passes more than 6 mm medial to the foramen ovale [9,11].…”

Section: Discussionmentioning

confidence: 99%

A giant foramen of Vesalius: case report

et al. 2022

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Anatomical variations identified at the skull base can result in challenges to the clinician. For example, the anatomy of the foramen ovale and its neighboring structures is critical knowledge for the surgeon who performs transcutaneous approaches to the foramen ovale for treating patients with trigeminal neuralgia. One nearby structure that can compound invasive procedures and potentially result in complications is the foramen of Vesalius. Although usually small, we report a giant foramen of Vesalius found in an adult female skull. The anatomy and clinical aspects of such a finding are discussed and related to other reports in the literature.

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“…For example, the cavernous sinus is surrounded by cranial nerves, including the abducens nerve, the oculomotor nerve, the trochlear nerve, and the third, fourth, and sixth divisions of trigeminal nerves 52 . Recently, biopsy of the cavernous sinus through the foramen ovale has become a minimally invasive diagnostic method and requires an accuracy of less than 1.0 mm 53 . Several tumors, including schwannoma, cavernous angioma, skull base meningioma, hypophysoma, and cerebellopontine angle tumor, require safe and accurate drilling of the compact bone 54 ; such drilling also requires planning of the surgical path with such a navigation system and avoiding important structures 55 .…”

Section: Discussionmentioning

confidence: 99%

Image-guided cochlear access by non-invasive registration: a cadaveric feasibility study

Wang

Liu

et al. 2020

Sci Rep

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Image-guided cochlear implant surgery is expected to reduce volume of mastoidectomy, accelerate recovery, and improve safety. The purpose of this study was to investigate the safety and effectiveness of image-guided cochlear implant surgery by a non-invasive registration method, in a cadaveric study. We developed a visual positioning frame that can utilize the maxillary dentition as a registration tool and completed the tunnels experiment on 5 cadaver specimens (8 cases in total). The accuracy of the entry point and the target point were 0.471 ± 0.276 mm and 0.671 ± 0.268 mm, respectively. The shortest distance from the margin of the tunnel to the facial nerve and the ossicular chain were 0.790 ± 0.709 mm and 1.960 ± 0.630 mm, respectively. All facial nerves, tympanic membranes, and ossicular chains were completely preserved. Using this approach, high accuracy was achieved in this preliminary study, suggesting that the non-invasive registration method can meet the accuracy requirements for cochlear implant surgery. Based on the above accuracy, we speculate that our method can also be applied to neurosurgery, orbitofacial surgery, lateral skull base surgery, and anterior skull base surgery with satisfactory accuracy.

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Percutaneous Biopsy of Lesions in the Cavernous Sinus: A Systematic Review

Cited by 9 publications

References 19 publications

Correlation Analysis on Anatomical Variants of Accessory Foramina in the Sphenoid Bone for Oncological Surgery

Correlation Analysis on Anatomical Variants of Accessory Foramina in the Sphenoid Bone for Oncological Surgery

A giant foramen of Vesalius: case report

Image-guided cochlear access by non-invasive registration: a cadaveric feasibility study

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