PMID: 2106115Jan 1, 1990Paper

The petrous carotid artery: anatomic relationships in skull base surgery

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
J P LeonettiF H Linthicum

Abstract

Advanced transcranial lesions may be successfully resected through a variety of contemporary skull base approaches. The identification and isolation of the internal carotid artery throughout its petrous course is essential in most of these surgical techniques. Anatomic landmarks normally used to identify this vital structure, however, may be severely distorted by tumor involvement or previous operative dissection. In an effort to define surgical landmarks that may be used in the identification of the petrous carotid artery, histologic sections of 100 temporal bones from adults were examined and microscopic measurements were recorded from the anatomic dissection of 10 fresh cadaver halfheads. On the basis of these studies, structures we have found useful in identification of the vertical petrous carotid artery during lateral skull base approaches include the: base of the styloid process, bony vascular crest, basal turn of the cochlea, medial wall of the eustachian tube, and the cochleariform process. Identification of the horizontal segment can be achieved by the preliminary delineation of the middle meningeal artery, greater petrosal nerve, tensor tympani muscle, mandibular and maxillary divisions of the trigeminal nerve, and t...Continue Reading

References

Nov 1, 1977·Journal of Neurosurgery·W S PaullusA I Rhoton
Jan 1, 1986·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·N O DuncanR F Canalis
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Citations

Mar 1, 1993·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J P LeonettiJ M Hartman
Jan 1, 1997·Surgical and Radiologic Anatomy : SRA·J F MederD Frédy
Apr 12, 2008·Acta Oto-laryngologica. Supplementum·Hideki TakegoshiShin-Ichi Ishimoto
Aug 22, 2008·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Matthew J HearstRavi N Samy
Nov 20, 2012·The Laryngoscope·Kayhan OzturkJuan C Fernandez-Miranda
Aug 30, 2013·Neurologia i neurochirurgia polska·P LadzińskiB Błaszczyk
Feb 12, 2019·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Kathryn Y NoonanMia E Miller
Oct 1, 1994·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·M B NaguibM Sanna
Jan 1, 1994·Surgical and Radiologic Anatomy : SRA·Y RobertJ P Francke
Jun 20, 2014·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Anjali SinglaDaisy Sahni
Dec 18, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J P LeonettiG Petruzzelli
Aug 11, 2005·Neurosurgical Review·Joji Inamasu, Bernard H Guiot
Jun 28, 2017·Magnetic Resonance in Medicine : Official Journal of the Society of Magnetic Resonance in Medicine·Kathrin LorenzHarald E Möller
Dec 30, 2015·Surgical and Radiologic Anatomy : SRA·Hediye Pınar GunbeyLutfi Incesu
Dec 1, 2001·Otolaryngologic Clinics of North America·D I Branovan, S D Schaefer

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