Home > Journals > Journal of Neurosurgical Sciences > Past Issues > Articles online first > Journal of Neurosurgical Sciences 2018 Jan 10

CURRENT ISSUE
 

ARTICLE TOOLS

Publication history
Reprints
Cite this article as

JOURNAL OF NEUROSURGICAL SCIENCES

A Journal on Neurosurgery


Indexed/Abstracted in: e-psyche, EMBASE, PubMed/MEDLINE, Neuroscience Citation Index, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,522


eTOC

 

Journal of Neurosurgical Sciences 2018 Jan 10

DOI: 10.23736/S0390-5616.18.04302-3

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Endoscopic endonasal transpterygoid approach to petrous pathologies: technique, limitations and alternative approaches

Gautam U. MEHTA, Shaan M. RAZA

Department of Neurosurgery, The University of Texas M.D. Anderson Cancer Center Houston, TX, USA


PDF  


The endoscopic endonasal transpterygoid approach is a versatile technique, providing direct access to the petrous apex through an anterior surgical corridor. In this review we detail the transpterygoid approach to the petrous apex and highlight its relative indications. Although this approach is a useful strategy for many lesions of the petrous apex, disease extension into lateral, superior, or posterior compartments may limit extent of resection afforded by an anterior approach alone. Based on these considerations, a disease compartment-specific strategy is discussed. The limitations of the transpterygoid approach and indications for lateral and postero- lateral approaches to petrous pathology are reviewed.


KEY WORDS: Endoscopic endonasal - Petrous apex - Transpterygoid

top of page

Publication History

Article first published online: January 10, 2018
Manuscript accepted: January 4, 2018
Manuscript received: December 16, 2017

Cite this article as

Mehta GU, Raza SM. Endoscopic endonasal transpterygoid approach to petrous pathologies: technique, limitations and alternative approaches. J Neurosurg Sci 2018 Jan 10. DOI: 10.23736/S0390-5616.18.04302-3

Corresponding author e-mail

smraza@mdanderson.org