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Acta Neurochirurgica

, Volume 156, Issue 8, pp 1623–1626 | Cite as

Full endoscopic endonasal suprapetrous approach to Meckel’s cave

  • Juan Antonio Simal JuliánEmail author
  • Pablo Miranda Lloret
  • Alfonso García Piñero
  • Carlos Botella Asunción
How I Do it - Neurosurgical Techniques

Abstract

Background

Meckel's cave is an anatomically complex region that can be approached surgically via several routes, namely the posterolateral, lateral, anterolateral, and, due to recent advancements, anteromedial routes, with the latter being represented by the expanded endonasal approaches.

Method

We describe in detail the surgical technique of the suprapetrous endonasal approach to Meckel's cave and highlight the main anatomical key elements involved in this approach as well as the technical aspects for avoiding surgical complications.

Conclusion

The suprapetrous endonasal approach to Meckel's cave avoids the brain tissue retraction, and thereby prevents postoperative brain edema.

Keywords

Endonasal Endoscopic Meckel’s cave Suprapetrous 

Notes

Conflicts of interest

None.

Supplementary material

ESM 1

(M4V 41990 kb)

References

  1. 1.
    Kassam AB, Prevedello DM, Carrau RL, Snyderman CH, Thomas A, Gardner P, Zanation A, Duz B, Stefko ST, Byers K, Horowitz MB (2011) Endoscopic endonasal skull base surgery: analysis of complications in the authors' initial 800 patients. J Neurosurg 114(6):1544–1568PubMedCrossRefGoogle Scholar
  2. 2.
    Roche PH, Troude L, Peyriere H, Noudel R (2014) The epidural approach to the Meckel's cave: a how I do it. Acta Neurochir (Wien) 156(1):217–220CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Wien 2014

Authors and Affiliations

  • Juan Antonio Simal Julián
    • 1
    Email author
  • Pablo Miranda Lloret
    • 1
  • Alfonso García Piñero
    • 2
  • Carlos Botella Asunción
    • 1
  1. 1.Neurosurgical DepartmentHUyP La Fe ValencisValenciaSpain
  2. 2.ENT DepartmentHUyP La Fe ValenciaValenciaSpain

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