Enhanced exposure of carotico-oculomotor triangle following extradural anterior clinoidectomy: a comparative anatomical study.

Publication/Presentation Date

8-1-2005

Abstract

OBJECTIVE: To quantify and compare the carotico-oculomotor triangle (COT) area before and after extradural anterior clinoidectomy (AC).

METHODS: Ten cadaveric heads were dissected bilaterally. Before and after an extradural AC, the following points were measured: (1) the internal carotid artery (ICA) bifurcation to the tip of the anterior clinoid process (ACP) (A) and to the distal dural ring (A'), (2) the ICA bifurcation to the point where the oculomotor nerve becomes obscured by the tentorial fold (B) and to the porus oculomotoris after incision of the tentorial fold (B'), and (3) the tip of the ACP to the point where the oculomotor nerve becomes obscured by the tentorial incisura (C) and from the distal dural ring to the porus oculomotoris (C'). The area of the COT was calculated before and after AC (DeltaABC and DeltaA'B'C', respectively).

RESULTS: The mean values were as follows: A: 9.15 +/- 0.93 mm, A': 13.45 +/- 0.82 mm; B: 7.80 +/- 1.24 mm, B': 9.90 +/- 1.21 mm; C: 7.15 +/- 0.99 mm, C': 9.3 +/- 1.26 mm; DeltaABC: 26.26 +/- 6.05 mm, DeltaA'B'C': 45.06 +/- 8.92 mm.

CONCLUSIONS: Extradural AC enhances the exposure of the COT almost twofold. This increased exposure can be of significant help during resection of lesions of the parasellar and basilar apex regions.

Volume

15

Issue

3

First Page

157

Last Page

161

ISSN

1531-5010

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

16175225

Department(s)

Administration and Leadership

Document Type

Article

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