Endoscopic endonasal approach to the middle cranial fossa through the cavernous sinus triangles: Anatomical considerations

Fuminari Komatsu, Shinri Oda, Masami Shimoda, Masaaki Imai, Hideaki Shigematsu, Mika Komatsu, Manfred Tschabitscher, Mitsunori Matsumae

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

The lateral limit of endoscopic endonasal surgery has yet to be defi ned. The aim of this study was to investigate the lateral limit of endoscopic endonasal surgery at the level of the sphenoid sinus. Access from the sphenoid sinus to the middle cranial fossa through the cavernous sinus triangles was evaluated by cadaver dissection. Anatomical analysis demonstrated that the medial temporal dura mater was exposed through the anterior area of the clinoidal triangle, anteromedial triangle, and superior area of the anterolateral triangle, indicating potential corridors to the middle cranial fossa. This study suggests that the cavernous sinus triangles are applicable in selected cases to manage middle cranial fossa lesions by endoscopic endonasal surgery.

Original languageEnglish
Pages (from-to)1004-1008
Number of pages5
Journalneurologia medico-chirurgica
Volume54
Issue number12
DOIs
Publication statusPublished - 15-12-2014
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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