Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-16T08:23:16.623Z Has data issue: false hasContentIssue false
  • English
  • Français

Subtemporal exposure of the intrapetrous internal carotid artery. An Anatomical study with surgical application

Published online by Cambridge University Press:  29 June 2007

Maged B. Naguib  and
Mario Sanna
Maged B. Naguib*
Affiliation:
ENT Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Mario Sanna
Affiliation:
Gruppo Otologico, Piacenza, Italy.
*
Address for correspondence: Maged B. Naguib, M.D., 60 Haroun El Rashid St., Heliopolis, Cairo, 11351, Egypt. Fax: +20 2 244 9657 e-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

This work describes the exposure of the intrapetrous internal carotid artery (ICA) through the subtemporal approach. The anatomical details of 25 fresh temporal bones were studied and provided the initial background for this procedure. Bone drilling in the meatal plane anterior to the internal auditory canal could create a four-sided quadrangular area. The exposure of the ICA through this area was applied on three occasions. It proved safe as regards the surrounding structures and also provided an ample working space for the extirpation of tumours surrounding the artery.

Keywords

Carotid artery, internalTemporal boneSurgery, operative
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 8 , August 1999 , pp. 717 - 720
Copyright
Copyright © JLO (1984) Limited 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the Second International Conference of the ENT Department, Faculty of Medicine, Suez Canal University, Ismailia, March 12–13, 1997.

References

Andrews, J. C., Valavanis, A., Fisch, U. (1989) Management of the internal carotid artery in surgery of the skull base. Laryngoscope 99: 1224–1229.CrossRefGoogle Scholar
Andrews, J. C., Martin, N. A., Black, K., Honrubia, V. F., Becker, D. P. (1991) Middle cranial fossa transtemporal approach to the intrapetrous internal carotid artery. Skull Base Surgery 1(3): 142–146.CrossRefGoogle Scholar
Arriaga, M. A., Brakmann, D. E., Hitselberger, W. E. (1993) Extended middle fossa resection of petroclival and cavernous sinus neoplasms. Laryngoscope 103: 693–698.CrossRefGoogle ScholarPubMed
Fisch, U., Mattox, D. (1988) Microsurgery of the Skull Base. Thieme Medical Publishers, New York, pp 418–542.Google Scholar
Glasscock, M. E. (1969) Middle fossa approach to the temporal bone. Archives of Otolaryngology 90: 41–53.Google ScholarPubMed
Hitselberger, W. E., Horn, K. L., Hankinson, H., Brakmann, D. E., House, W. F. (1993) The middle fossa transpetrous approach for petroclival meningiomas. Skull Base Surgery 3(3): 130–135.CrossRefGoogle ScholarPubMed
Jackler, R. K., Gladstone, H. B. (1995) Locating the internal auditory canal during the middle fossa approach. An alternative technique. Skull Base Surgery 5(2): 63–67.CrossRefGoogle ScholarPubMed
Kawase, R., Toya, S., Shiobara, R. (1985) Transpetrosal approach for aneurysms of the lower basilar artery. Journal of Neurosurgery 63: 857–861.CrossRefGoogle ScholarPubMed
Konno, A., Togawa, K., Iizuka, K. (1981) Analysis of factors affecting complications of carotid ligation. Annals of Otology, Rhinology and Laryngology 90: 222–226.CrossRefGoogle ScholarPubMed
Naguib, M. (1996) A new method for exposure of the internal auditory canal in the middle cranial fossa approach. Egyptian Journal of Otolaryngology 13(2): 143–148.Google Scholar
Paullus, W. S., Pait, T. G., Rhoton, A. L. (1977) Microsurgical exposure of the petrous portion of the carotid artery. Journal of Neurosurgery 47: 713–726.CrossRefGoogle ScholarPubMed
Velut, S., Jan, M. (1991) Anterior petrosectomy during approach to the petroclival area. In Meningiomas and Their Surgical Management. (Schmideck, H. E. ed.) W. B. Saunders Co., Philadelphia, pp 435–450.Google Scholar