Surgical nuances for the endoscopic endonasal transpterygoid approach to lateral sphenoid sinus encephaloceles.
Publication/Presentation Date
6-1-2012
Abstract
Lateral sphenoid encephaloceles of the Sternberg canal are rare entities and usually present with spontaneous CSF rhinorrhea. Traditionally, these were treated via transcranial approaches, which can be challenging given the deep location of these lesions. However, with advancements in endoscopic skull base surgery, including improved surgical exposures, angled endoscopes and instruments, and novel repair techniques, these encephaloceles can be resected and successfully repaired with purely endoscopic endonasal approaches. In this report, the authors review the endoscopic endonasal transpterygoid approach to the lateral recess of the sphenoid sinus for repair of temporal lobe encephaloceles, including an overview of the surgical anatomy from an endoscopic perspective, and describe the technical operative nuances and surgical pearls for these cases. The authors also present 4 new cases of lateral sphenoid recess encephaloceles that were successfully treated using this approach.
Volume
32
Issue
6
First Page
5
Last Page
5
ISSN
1092-0684
Published In/Presented At
Schmidt, R. F., Choudhry, O. J., Raviv, J., Baredes, S., Casiano, R. R., Eloy, J. A., & Liu, J. K. (2012). Surgical nuances for the endoscopic endonasal transpterygoid approach to lateral sphenoid sinus encephaloceles. Neurosurgical focus, 32(6), E5. https://doi.org/10.3171/2012.3.FOCUS1267
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
22655694
Department(s)
Administration and Leadership
Document Type
Article