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Surgical Anatomy of the Infralabyrinthine Approach
Ela Cömert1, Ayhan Cömert2, Nurdan Çay3
1Clinic of Otolaryngology, Ankara Oncology Education and Research Hospital, Ankara, Turkey Department of Anatomy, Ankara University, Faculty of Medicine, Ankara, Turkey elacomert@yahoo.com.
Objective:
The objective of this study is to demonstrate the surgical anatomy of the infralabyrinthine approach (ILA) and ways to prevent complications based on the complex anatomy.
Study Design:
Cadaveric study.
Setting:
Ankara University Faculty of Medicine, Department of Anatomy.
Subjects And Methods:
Temporal bones were selected from 30 sides of 20 fixed human cadaver heads. Computed tomography (CT) scans of the heads were performed and, afterward, the cadavers were dissected using a surgical microscope and electric drill.
Results:
An appropriate tract could be achieved in 73.3% of the dissections by applying slight pressure to the jugular bulb (JB). The narrowest portion of the ILA was defined as the inner window, which was located superior-inferiorly between the inferior border of the cochlea and the inferior wall of the petrous apex and anterior-posteriorly between the posterior wall of the carotid canal and the cochlear opening of the cochlear aqueduct. The ILA could not be performed when the distances between the facial nerve-JB and JB-cochlea were less than 2.9 mm and 2.6 mm, respectively, on CT scan.
Conclusion:
Close attention should be paid to the access and inner window during preoperative temporal bone imaging to assess for ILA. The detailed anatomy of the route, measurements of the topography of the cochlea from the mastoid view, and angles of the route are defined to prevent complications.
