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Quantitative Anatom...
Quantitative Anatomic Comparison of Endoscopic Transnasal and Microsurgical Transcranial Approaches to the Anterior Cranial Fossa
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Agosti, Edoardo (author)
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Saraceno, Giorgio (author)
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Rampinelli, Vittorio (author)
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- Raffetti, Elena (author)
- Karolinska Institutet,Uppsala universitet,Luft-, vatten- och landskapslära,Department of Global Public Health Sciences, Karolinska Institute, Stockholm, Sweden,Center for Natural Hazards and Disaster Science
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Veiceschi, Pierlorenzo (author)
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Buffoli, Barbara (author)
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Rezzani, Rita (author)
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Giorgianni, Andrea (author)
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Hirtler, Lena (author)
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Alexander, Alex Yohan (author)
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Deganello, Alberto (author)
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Piazza, Cesare (author)
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Nicolai, Piero (author)
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Castelnuovo, Paolo (author)
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Locatelli, Davide (author)
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Peris-Celda, Maria (author)
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Fontanella, Marco Maria (author)
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Doglietto, Francesco (author)
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(creator_code:org_t)
- 2022-07-06
- 2022
- English.
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In: Operative Neurosurgery. - : Congress of Neurological Surgeons. - 2332-4252 .- 2332-4260. ; 23:4, s. e256-e266
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- BACKGROUND: Several microsurgical transcranial approaches (MTAs) and endoscopic transnasal approaches (EEAs) to the anterior cranial fossa (ACF) have been described.OBJECTIVE: To provide a preclinical, quantitative, anatomic, comparative analysis of surgical approaches to the ACF.METHODS: Five alcohol-fixed specimens underwent high-resolution computed tomography. The following approaches were performed on each specimen: EEAs (transcribriform, transtuberculum, and transplanum), anterior MTAs (transfrontal sinus interhemispheric, frontobasal interhemispheric, and subfrontal with unilateral and bilateral frontal craniotomy), and anterolateral MTAs (supraorbital, minipterional, pterional, and frontotemporal orbitozygomatic approach). An optic neuronavigation system and dedicated software (ApproachViewer, part of GTx-Eyes II—UHN) were used to quantify the working volume of each approach and extrapolate the exposure of different ACF regions. Mixed linear models with random intercepts were used for statistical analyses.RESULTS: EEAs offer a large and direct route to the midline region of ACF, whose most anterior structures (ie, crista galli, cribriform plate, and ethmoidal roof) are also well exposed by anterior MTAs, whereas deeper ones (ie, planum sphenoidale and tuberculum sellae) are also well exposed by anterolateral MTAs. The orbital roof region is exposed by both anterolateral and lateral MTAs. The posterolateral region (ie, sphenoid wing and optic canal) is well exposed by anterolateral MTAs.CONCLUSION: Anterior and anterolateral MTAs play a pivotal role in the exposure of most anterior and posterolateral ACF regions, respectively, whereas midline regions are well exposed by EEAs. Furthermore, certain anterolateral approaches may be most useful when involvement of the optic canal and nerves involvement are suspected.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
- TEKNIK OCH TEKNOLOGIER -- Medicinteknik -- Medicinsk bildbehandling (hsv//swe)
- ENGINEERING AND TECHNOLOGY -- Medical Engineering -- Medical Image Processing (hsv//eng)
- NATURVETENSKAP -- Data- och informationsvetenskap -- Bioinformatik (hsv//swe)
- NATURAL SCIENCES -- Computer and Information Sciences -- Bioinformatics (hsv//eng)
Keyword
- Anterior cranial fossa
- Endoscopy
- Microsurgery
- Comparative study
- Quantitative study
- Skull base surgery
- Approaches
- Quantitative comparison
- Endoscopic transnasal
- Microsurgical transcranial
- Neuronavigation
- Evidence-based
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Agosti, Edoardo
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Saraceno, Giorgi ...
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Rampinelli, Vitt ...
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Raffetti, Elena
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Veiceschi, Pierl ...
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Buffoli, Barbara
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show more...
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Rezzani, Rita
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Giorgianni, Andr ...
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Hirtler, Lena
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Alexander, Alex ...
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Deganello, Alber ...
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Piazza, Cesare
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Nicolai, Piero
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Castelnuovo, Pao ...
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Locatelli, David ...
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Peris-Celda, Mar ...
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Fontanella, Marc ...
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Doglietto, Franc ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Neurology
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- ENGINEERING AND TECHNOLOGY
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ENGINEERING AND ...
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and Medical Engineer ...
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and Medical Image Pr ...
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- NATURAL SCIENCES
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NATURAL SCIENCES
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and Computer and Inf ...
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and Bioinformatics
- Articles in the publication
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Operative Neuros ...
- By the university
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Uppsala University
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Karolinska Institutet