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Maximal exposure of the parapharyngeal internal carotid artery via transnasal and transoral corridors

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机构: [1]Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. [2]Department of Otolaryngology-Head and Neck Surgery, Xianghe People's Hospital, Langfang, Hebei, China. [3]Department of Otolaryngology-Head and Neck Surgery, The James Cancer Hospital at the Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
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关键词: endonasal exposure internal carotid artery parapharyngeal transoral

摘要:
The parapharyngeal internal carotid artery (pICA) could be surgically exposed through the transnasal and transoral corridors. However, their potential degree of exposure has not been established sufficiently. This study aims to elucidate the maximal exposure of the pICA via the transnasal and transoral corridors.An endonasal transpterygoid nasopharyngectomy for exposure of the pICA was performed on eight cadaveric specimens (16 sides), while a transoral approach for exposure of the pICA was performed on six additional specimens (12 sides). In addition, the CT angiography of 60 consecutive patients (120 sides) was analyzed to establish the potential maximal exposure of the pICA through each corridor.The hard palate becomes a restricting factor for the inferior exposure of the pICA via the transnasal approach, whereas the entire pICA segment could be adequately displayed through the transoral corridor. The maximal exposed length of the pICA for a transnasal and transoral approach was 3.08 ± 0.30 cm and 6.56 ± 0.57 cm, respectively. This difference was statistically significant (p < 0.001).An endonasal exposure of the pICA seems limited to its superior aspect, whereas the transoral corridor could provide adequate exposure of the entire length of pICA.© 2022 Wiley Periodicals LLC.

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出版当年[2022]版:
大类 | 2 区 医学
小类 | 2 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[2021]版:
Q1 OTORHINOLARYNGOLOGY Q1 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[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [1]Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. [2]Department of Otolaryngology-Head and Neck Surgery, Xianghe People's Hospital, Langfang, Hebei, China.
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通讯作者:
通讯机构: [1]Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. [*1]Department of Thyroid-Head & Neck Surgery, Beijing Tongren Hospital, Capital Medical University, 1st Dongjiaominxiang, Dongcheng District, Beijing 100730, China.
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