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Published on: February 5, 2011
Accessory anterior ethmoidal nerve and artery: a cadaveric case report
D Hage1, J Iwanaga2,3,4,5, A Danaei6
1Department of Neurosurgery, Tulane Centre for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, United States.
This study details a rare anatomical variation of the anterior ethmoidal artery (AEA) and ethmoidal foramen encountered during cadaveric dissection. Familiarity with these variations is crucial for surgeons to prevent serious complications.
Area of Science:
- Anatomy
- Surgical Anatomy
- Neuroanatomy
Background:
- The anterior ethmoidal artery (AEA) is a critical surgical landmark in anterior cranial fossa procedures.
- Anatomical variations of the AEA are well-documented and pose surgical risks.
- Injury to the AEA can result in severe hemorrhage and other complications.
Observation:
- This report presents a rare case of a variant accessory anterior ethmoidal artery and nerve.
- Variations in the ethmoidal foramen were also observed during cadaveric dissection.
- The ethmoidal foramen, a landmark for AEA identification, exhibits variable presentations.
Findings:
- A rare variant accessory anterior ethmoidal artery and nerve was identified.
- Observed variations in the ethmoidal foramen's presentation.
- Highlights the importance of recognizing anatomical anomalies in surgical planning.
Implications:
- Surgeons must be aware of potential AEA anatomical variations to mitigate risks.
- High-resolution computed tomography is recommended for difficult AEA identifications.
- Understanding these variations improves surgical safety in anterior cranial fossa procedures.
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