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



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.


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.


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


Endonasal Endoscopic Meckel’s cave Suprapetrous 


Conflicts of interest


Supplementary material


(M4V 41990 kb)


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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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