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Published in: Acta Neurochirurgica 8/2014

01-08-2014 | How I Do it - Neurosurgical Techniques

Full endoscopic endonasal suprapetrous approach to Meckel’s cave

Authors: Juan Antonio Simal Julián, Pablo Miranda Lloret, Alfonso García Piñero, Carlos Botella Asunción

Published in: Acta Neurochirurgica | Issue 8/2014

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Abstract

Background

Meckel's cave is an anatomically complex region that can be approached surgically via several routes, namely the posterolateral, lateral, anterolateral, and, due to recent advancements, anteromedial routes, with the latter being represented by the expanded endonasal approaches.

Method

We describe in detail the surgical technique of the suprapetrous endonasal approach to Meckel's cave and highlight the main anatomical key elements involved in this approach as well as the technical aspects for avoiding surgical complications.

Conclusion

The suprapetrous endonasal approach to Meckel's cave avoids the brain tissue retraction, and thereby prevents postoperative brain edema.
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Literature
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go back to reference Kassam AB, Prevedello DM, Carrau RL, Snyderman CH, Thomas A, Gardner P, Zanation A, Duz B, Stefko ST, Byers K, Horowitz MB (2011) Endoscopic endonasal skull base surgery: analysis of complications in the authors' initial 800 patients. J Neurosurg 114(6):1544–1568PubMedCrossRef Kassam AB, Prevedello DM, Carrau RL, Snyderman CH, Thomas A, Gardner P, Zanation A, Duz B, Stefko ST, Byers K, Horowitz MB (2011) Endoscopic endonasal skull base surgery: analysis of complications in the authors' initial 800 patients. J Neurosurg 114(6):1544–1568PubMedCrossRef
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go back to reference Roche PH, Troude L, Peyriere H, Noudel R (2014) The epidural approach to the Meckel's cave: a how I do it. Acta Neurochir (Wien) 156(1):217–220CrossRef Roche PH, Troude L, Peyriere H, Noudel R (2014) The epidural approach to the Meckel's cave: a how I do it. Acta Neurochir (Wien) 156(1):217–220CrossRef
Metadata
Title
Full endoscopic endonasal suprapetrous approach to Meckel’s cave
Authors
Juan Antonio Simal Julián
Pablo Miranda Lloret
Alfonso García Piñero
Carlos Botella Asunción
Publication date
01-08-2014
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 8/2014
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-014-2113-x

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