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Transantral endoscopic approach for the treatment of lesions affecting the maxillary nerve

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Abstract

Background

Surgical approaches to skull base lesions that affect the maxillary nerve are complex, due to deep location and presence of relevant neurovascular structures surrounding this area.

Method

We propose the transantral endoscopic approach (TEA) for the treatment of lesions affecting the maxillary nerve or its vicinity. More specifically, the ones that are located anterior to the foramen rotundum.

Conclusions

This technique represents a minimally invasive treatment option for these kind of cranial base lesions. It offers optimal visualisation similar to the endonasal approach, whereas less dissection is required.

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References

  1. 1.

    Schultheiß S, Petridis A, El Habony R, Maurer P, Scholz M (2013) The transmaxilary endoscopic approach to the orbit. Acta Neurochir (Wein) 155:87–97

  2. 2.

    Van Rompaey J, Suruliraj A, Carrau R, Panizza B, Solares Arturo C (2014) Meckel’s cave access: anatomic study comparing the endoscopic transantral and endonasal approaches. Eur Arch Otorhinolaryngol 271:787–794

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Author information

Correspondence to Laila Pérez de San Román-Mena.

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Conflict of interest

None.

Electronic supplementary material

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TEA performed to resect a maxillary nerve schwannoma (MP4 167178 kb)

Video 1

TEA performed to resect a maxillary nerve schwannoma (MP4 167178 kb)

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Cite this article

Pérez de San Román-Mena, L., Simal-Julián, J.A., Miranda-Lloret, P. et al. Transantral endoscopic approach for the treatment of lesions affecting the maxillary nerve. Acta Neurochir 158, 1225–1227 (2016). https://doi.org/10.1007/s00701-016-2791-7

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Keywords

  • Transantral
  • Pterygopalatine fossa
  • Endoscopic approach