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Updated: Jun 20, 2025
09:53
Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
3.6K
Endoscopic Anatomy of the Skull Base
Jonathan A Tangsrivimol1, Moataz D Abouammo2, Daniel M Prevedello3
1Department of Neurosurgery, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand.
Advances and Technical Standards in Neurosurgery
|July 17, 2024
Summary
Endoscopic skull base surgery relies on detailed ventral anatomy knowledge. This chapter organizes key anatomical approaches in sagittal and coronal planes for surgical success.
Area of Science:
- Neurosurgery
- Anatomy
Background:
- Endoscopic skull base surgery has advanced significantly over the past two decades.
- A thorough understanding of anatomy, particularly ventral anatomy, is fundamental to all surgical procedures.
- Ventral anatomy has recently received increased attention in the context of endoscopic skull base surgery.
Purpose of the Study:
- To detail pertinent anatomical considerations crucial for successful endoscopic skull base surgery.
- To systematically organize anatomical knowledge relevant to endoscopic skull base procedures.
- To enhance comprehension and application of anatomical structures in surgical planning.
Main Methods:
- The chapter categorizes anatomical considerations into two primary planes: sagittal and coronal.
- The sagittal plane is subdivided into five distinct surgical approaches.
- The coronal plane is delineated into seven specific anatomical zones.
Main Results:
- The sagittal plane includes the transcribriform, transplanum, transsellar, transclival, and transodontoid approaches.
- The coronal plane encompasses the petrous apex, intrapetrous, suprapetrous, cavernous sinus, infratemporal, medial condyle, and jugular foramen approaches.
- This systematic organization facilitates a comprehensive understanding of the relevant anatomy.
Conclusions:
- A systematic anatomical classification is essential for advancing endoscopic skull base surgery.
- Understanding the sagittal and coronal planes provides a framework for surgical navigation.
- This organized anatomical knowledge supports improved surgical outcomes and future applications.
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