Abstract
This chapter illustrates the surgical anatomy of the most challenging portion of the internal carotid artery, surgically speaking. At this level, the carotid artery runs within the skull base, and it is therefore intracranial and extradural. Helpful surgical landmarks for approaching this tract of the vessel, both from lateral and from anterior endoscopic approaches, are reported, and particular emphasis is given to the anatomical relationship of the internal carotid artery with all the bony, neural, and vascular structures of the skull base, as well as with the middle ear.
Keywords
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Bouthillier A, van Loveren H, Keller J (1996) Segments of the internal carotid artery: a new classification. Neurosurgery 38:425–433
Dallan I, Bignami M, Battaglia P et al (2010) Fully endoscopic transnasal approach to the jugular foramen: anatomic study and clinical considerations. Neurosurgery 67 (3 Suppl): ons1–7
Falcon RT, Rivera-Serrano CM, Miranda JF et al (2011) Endoscopic endonasal dissection of the infratemporal fossa: anatomic relationships and importance of eustachian tube in the endoscopic skull base surgery. Laryngoscope 121:31–41
Fernandez-Miranda JC, Morera VA, Snyderman CH et al (2012) Endoscopic endonasal transclival approach to the jugular tubercle. Neurosurgery 71 (suppl1): ons146–159
Herzallah IR, Casiano RR (2007) Endoscopic endonasal study of the internal carotid artery and variations. Am J Rhinol 21:262–270
Janfaza P, Nadol JB Jr (2001a) Scalp, cranium, and brain. In: Janfaza P, Nadol JB Jr, Galla R, Fabian RL, Montgomery WW (eds) Surgical anatomy of the head and neck. Lippincott Williams & Wilkins, Philadelphia
Janfaza P, Nadol JB Jr (2001b) Temporal bone and ear. In: Janfaza P, Nadol JB Jr, Galla R, Fabian RL, Montgomery WW (eds) Surgical anatomy of the head and neck. Lippincott Williams & Wilkins, Philadelphia
Jinkins JR (2000) Atlas of neuroradiologic embryology, anatomy, and variants. Lippincott Williams & Wilkins, Philadelphia
Kakizawa Y, Abe H, Fukushima Y et al (2007) The course of the lesser petrosal nerve on the middle cranial fossa. Neurosurgery 61(3 Suppl):15–23
Lang J (1995) Skull base and related structures: atlas of clinical anatomy. Schattauer, Stuttgart
Lasjaunias PL (1981) Craniofacial and upper cervical arteries: functional, clinical and angiographic aspects. Lippincott Williams & Wilkins, Baltimore
Osawa S, Rhoton AL Jr, Tanriover N et al (2008) Microsurgical anatomy and surgical exposure of the petrous segment of the internal carotid artery. Neurosurgery 63(4 Suppl 2):210–238
Paullus WS, Pait TG, Rhoton AL Jr (1977) Microsurgical exposure of the petrous portion of the carotid artery. J Neurosurg 47:713–726
Porto AF Jr, Whicker J, Proud GO (1978) An anatomic study of the hypotympanic branch of Jacobson’s nerve. Laryngoscope 88:56–60
Tubbs RS, Hansasuta A, Loukas M et al (2007) Branches of the petrous and cavernous segments of the internal carotid artery. Clin Anat 20:596–601
Ziyal IM, Ozgen T, Sekhar LN et al (2005) Proposed classification of segments of the internal carotid artery: anatomical study with angiographical interpretation. Neurol Med Chir (Tokyo) 45:184–191
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Castelnuovo, P., Dallan, I., Tschabitscher, M. (2013). Skull Base Segment. In: Surgical Anatomy of the Internal Carotid Artery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29664-2_2
Download citation
DOI: https://doi.org/10.1007/978-3-642-29664-2_2
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-29663-5
Online ISBN: 978-3-642-29664-2
eBook Packages: MedicineMedicine (R0)