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العنوان
Endoscopic Infratemporal Fossa Surgery: Anatomical and Surgical Safe Landmarks/
المؤلف
ABDELAZEM,MOHAMMED KENAWY
هيئة الاعداد
باحث / محمد قناوي عبد العظيم
مشرف / محمود نجيب الطرابيشي
مشرف / حسن علاء الابياري
مشرف / صبري مجدي صبري
مشرف / عمرو حسين حجاب
مشرف / محمد محمد الشرنوبي
تاريخ النشر
2016
عدد الصفحات
175.p:
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الحنجرة
تاريخ الإجازة
1/1/2016
مكان الإجازة
جامعة عين شمس - كلية الطب - OTORHINOLARYNGOLOGY
الفهرس
Only 14 pages are availabe for public view

from 175

from 175

Abstract

Aim
Provide a detailed anatomic description of the infratemporal fossa correlated to computed tomography multiplanar imaging from the endoscopic perspective.
Methods
This descriptive study conducted observation of the anatomical landmarks via 3 routes : an osteological dissection of 50 sides of the infratemporal fossa region of 25 adult human dried skulls, irrespective to gender, detailing the distances and angles between orienting critical landmarks . Then the results were correlated with radiological analysis of the bony and soft tissue landmarks of the infratemporal fossa region that was made for 200 High-resolution CT images ; 1.0 mm thickness with multiplanar reconstructions, of the paranasa l sinuses and skull base. Finally ; surgically , where the bony landmarks, muscular, neural and vascular structures of the ITF and their spatial relationship were digitally captured in 20 patients with pathologies either arise from or extend into the ITF, who were indicated for the various ITF surgical approaches .
Results
A detailed radio-anatomic description of the infratemporal fossa was depicted providing a surgical map highlighting critical neurovascular structures and illustrating the potential surgical corridors and mentioning several potential anatomic limits to the endoscopic approaches.
Conclusion
Establishing a landmarks system helps to understand the anatomy of this complex area and to accurately plan the endoscopic approaches that recently replaced the classic surgical exposures associated with the transcranial, transfacial, and transmandibular approaches with their inherent neurological and cosmetic morbidities