[Transmaxillary approach to the skull base: surgical anatomy and guidelines].
作者信息
Seizeur R, Forlodou P, Simon A, Gerard R, Person H, Lefèvre C, Sénécail B, Besson G
机构信息
Laboratoire d'anatomie, faculté de médecine, université de Brest, and Pôle neurolocomoteur, service de neurochirurgie, hôpital Cavale-Blanche, CHU de Brest, 2, avenue Foch, 29609 Brest cedex France.
出版信息
Morphologie. 2008 Dec;92(299):181-7. doi: 10.1016/j.morpho.2008.10.002. Epub 2008 Nov 13.
BACKGROUND
A surgical and anatomic approach to the skull base using the transmaxillary route is presented. This route is well-known and used for a long time for sinus conditions.
METHOD
This study was performed on injected cadavers. This study describes step by step this approach in microsurgical conditions following a vital lead: the infraorbital nerve.
RESULTS
Anatomical landmarks are located in order to avoid complications. These complications are on one hand, hemorrhages by vascular lesions and on the other, definitive nerve palsy.
CONCLUSION
Several skull base approaches exist, transfacial routes produce cosmetic damages. This route preserves the functional anatomy of the nose because it preserves the integrity of the lateral wall of the nasal cavity.
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