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Sutures of the Skull

Sutures of the Skull

The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...

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Updated: Nov 10, 2025

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery

Published on: July 5, 2021

[Interdisciplinary surgery to the central skull base-current status].

J Schipper¹, A Albrecht², T Klenzner²

¹Universitätsklinik für Hals‑, Nasen- und Ohrenheilkunde und Poliklinik, Heinrich-Heine-Universität Düsseldorf, Moorenstraße 5, 40255, Düsseldorf, Deutschland. joerg.schipper@med.uni-duesseldorf.de.

|April 6, 2021

Summary

This summary is machine-generated.

This study systematizes surgical access routes for complex central skull base pathologies. Optimal surgical corridors depend on pathology type, location, and functional preservation goals.

Keywords:

Microsurgical visualization procedures Minimally invasive surgery Multiport access routes Pathologies of the central skull base Powered instruments

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Microvascular Decompression: Salient Surgical Principles and Technical Nuances

Microvascular Decompression: Salient Surgical Principles and Technical Nuances

Published on: July 5, 2011

Area of Science:

Neurosurgery
Otorhinolaryngology
Head and Neck Surgery

Background:

The skull base presents surgical complexity, often requiring combined access routes.
Advancements in microsurgical techniques and multiport accesses create less invasive surgical corridors.
Effective treatment necessitates close interdisciplinary collaboration between ENT and neurosurgeons.

Purpose of the Study:

To systematize established surgical access routes to the central skull base.
To discuss these routes in relation to specific pathologies and current research.
To provide a framework based on clinical experience for complex skull base surgeries.

Main Methods:

Retrospective, qualitative, and descriptive evaluation of surgical reports.
Analysis of patient data jointly treated by neurosurgery and ENT/head and neck surgery from 2006 to 2019.
Categorization of surgical access routes based on clinical experience.

Main Results:

Surgical access routes include transnasal-transsphenoidal, subfrontal, subtemporal, transzygomatic, transpterygonal, transpetrous, translabyrinthine, and suboccipital.
Access route selection was determined by pathology location, type (inflammatory, benign/malignant tumor), and functional preservation goals.
Multiport access routes, sometimes in combination, were utilized.

Conclusions:

Central skull base surgery is challenging due to complex structures and diverse pathologies.
Specialized expertise from multiple medical disciplines is crucial for successful outcomes.
Surgery should be centralized at certified competence centers, adhering to German Society of Skull Base Surgery criteria.