Suppr超能文献

经鼻内镜翼腭窝神经入路:一项详细的尸体解剖学研究

Endoscopic endonasal approach to the nerves of the pterygopalatine fossa: a detailed cadaveric anatomical study.

作者信息

Akdemir Aktaş Hilal, Gasimov Turab, Acitores Cancela Alberto, Keleş Abdullah, Gürbüz Mehmet Sabri, Tatar İlkan, Başkaya Mustafa Kemal

机构信息

Department of Anatomy, Faculty of Medicine, Hacettepe University, Ankara, Türkiye.

Department of Neurological Surgery, School of Medicine and Public Health, University of Wisconsin, CSC K8/828, 600 Highland Avenue, Madison, WI, 53792, USA.

出版信息

Surg Radiol Anat. 2025 Apr 19;47(1):122. doi: 10.1007/s00276-025-03637-5.

Abstract

PURPOSE

The endoscopic endonasal approach offers a safe, reliable, and minimally invasive method to access the pterygopalatine fossa. In this study, we provide a detailed anatomical exploration of the pterygopalatine fossa, with a particular focus on the nerves and their spatial relationships to key endoscopic landmarks.

METHODS

A total of 12 pterygopalatine fossae from six formalin-fixed cadaveric heads (five female, one male) were dissected using both endoscopic approach and anatomical microscopic dissection to measure the lengths, diameters, and anatomical relationships of the nerves and arteries.

RESULTS

The maxillary nerve measured 15.93 ± 6.19 mm in length and 3.96 ± 0.69 mm in diameter, while infraorbital nerve measured 24.4 ± 4.38 mm in length and 3.00 ± 0.71 mm in diameter. The greater palatine nerve measured 13.15 ± 4.25 mm in length and 2.70 ± 0.39 mm in diameter. The Vidian nerve measured 16.78 ± 1.18 mm in length and 2.15 ± 0.51 mm in diameter. The pterygopalatine ganglion had a width of 4.59 ± 1.16 mm and a height of 5.18 ± 1.63 mm. The infraorbital nerves were primarily located lateral to the infraorbital artery, while the greater palatine nerves were typically found medial to the descending palatine arteries.

CONCLUSION

Our findings indicate that the maxillary, infraorbital, and greater palatine nerves, together with the pterygopalatine ganglion, are key landmarks for defining the surgical boundaries of the pterygopalatine fossa. These insights are expected to enhance the safety and precision of surgical interventions in this complex anatomical region, ultimately improving patient outcomes.

摘要

目的

鼻内镜经鼻入路为进入翼腭窝提供了一种安全、可靠且微创的方法。在本研究中,我们对翼腭窝进行了详细的解剖学探究,特别关注神经及其与关键鼻内镜标志的空间关系。

方法

使用鼻内镜入路和解剖显微镜解剖,对来自6个福尔马林固定尸体头部(5例女性,1例男性)的总共12个翼腭窝进行解剖,以测量神经和动脉的长度、直径及解剖关系。

结果

上颌神经长度为15.93±6.19mm,直径为3.96±0.69mm;眶下神经长度为24.4±4.38mm,直径为3.00±0.71mm。腭大神经长度为13.15±4.25mm,直径为2.70±0.39mm。翼管神经长度为16.78±1.18mm,直径为2.15±0.51mm。翼腭神经节宽度为4.59±1.16mm,高度为5.18±1.63mm。眶下神经主要位于眶下动脉外侧,而腭大神经通常位于腭降动脉内侧。

结论

我们的研究结果表明,上颌神经、眶下神经和腭大神经以及翼腭神经节是界定翼腭窝手术边界的关键标志。这些见解有望提高在这个复杂解剖区域进行手术干预的安全性和精确性,最终改善患者预后。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验