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Endonasal access to the lateral poststyloid space: Far lateral extension of an endoscopic endonasal corridor

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机构: [1]Capital Med Univ, Beijing Tongren Hosp, Dept Otolaryngol Head & Neck Surg, Beijing, Peoples R China [2]Ohio State Univ, Wexner Med Ctr, James Canc Hosp, Dept Otolaryngol Head & Neck Surg, Starling Loving Hall Room B221,614 685 6778, Columbus, OH 43210 USA [3]Johns Hopkins Sch Med, Dept Otolaryngol Head & Neck Surg, Baltimore, MD USA [4]Ohio State Univ, Wexner Med Ctr, James Canc Hosp, Dept Neurol Surg, Columbus, OH 43210 USA
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关键词: endonasal facial nerve lateral poststyloid space styloid process

摘要:
The styloid process constitutes the posterolateral boundary for an endonasal exposure of the infratemporal fossa. This study aims to explore the feasibility of a far-lateral extension to the lateral poststyloid space via an endonasal corridor. An endonasal dissection was performed on six cadaveric specimens (12 sides). Following an endoscopic endonasal access to the parapharyngeal space, the styloid process and the tympanic portion of the temporal bone were removed to reveal the jugular bulb and the extratemporal facial nerve. Distances from the anterior nasal spine to the relevant landmarks were measured using a surgical navigation device. Through an endonasal corridor, only the anteroinferior aspect of the jugular bulb was exposed. Conversely, the extratemporal facial nerve could be sufficiently exposed, and the deep temporal nerve could be transposed to the stylomastoid foramen. The average horizontal distances from the nasal spine to the posterior tract of V-3, styloid process, and facial nerve were 79.33 +/- 3.41, 97.10 +/- 4.74, and 104.77 +/- 4.42 mm, respectively. Access to the lateral poststyloid space via an endonasal corridor is feasible, potentially providing an alternative approach to address select lesions extending to this region. The deep temporal nerve has a similar diameter to that of the facial nerve; thus, providing potential reinnervation of the facial nerve.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 3 区 耳鼻喉科学 3 区 外科
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 耳鼻喉科学 3 区 外科
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出版当年[2020]版:
Q2 OTORHINOLARYNGOLOGY Q2 SURGERY
最新[2023]版:
Q1 OTORHINOLARYNGOLOGY Q1 SURGERY Q2 SURGERY

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]Capital Med Univ, Beijing Tongren Hosp, Dept Otolaryngol Head & Neck Surg, Beijing, Peoples R China [2]Ohio State Univ, Wexner Med Ctr, James Canc Hosp, Dept Otolaryngol Head & Neck Surg, Starling Loving Hall Room B221,614 685 6778, Columbus, OH 43210 USA
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通讯机构: [2]Ohio State Univ, Wexner Med Ctr, James Canc Hosp, Dept Otolaryngol Head & Neck Surg, Starling Loving Hall Room B221,614 685 6778, Columbus, OH 43210 USA [4]Ohio State Univ, Wexner Med Ctr, James Canc Hosp, Dept Neurol Surg, Columbus, OH 43210 USA [*1]Department of Otolaryngology – Head & Neck Surgery, The James Cancer Hospital at the Wexner Medical Center of The Ohio State University, Starling Loving Hall – Room B221, 614.685.6778, 320 West 10th Avenue, Columbus, OH 43210
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