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.
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
共同第一作者:
通讯作者:
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
推荐引用方式(GB/T 7714):
Li Lifeng,London Nyall R. Jr.,Kim Leslie R.,et al.Endonasal access to the lateral poststyloid space: Far lateral extension of an endoscopic endonasal corridor[J].HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK.2022,44(10):2342-2349.doi:10.1002/hed.27135.
APA:
Li, Lifeng,London, Nyall R., Jr.,Kim, Leslie R.,Prevedello, Daniel M.&Carrau, Ricardo L..(2022).Endonasal access to the lateral poststyloid space: Far lateral extension of an endoscopic endonasal corridor.HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK,44,(10)
MLA:
Li, Lifeng,et al."Endonasal access to the lateral poststyloid space: Far lateral extension of an endoscopic endonasal corridor".HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK 44..10(2022):2342-2349