Abstract
The orbital apex is a complex region in the orbit which contains important structures such as the optic nerve and ophthalmic artery. Although much research has been dedicated to the anatomy of this region, there has been a lack of consistency in the definition of the precise location of the orbital apex. In the modern era of microscopic and endoscopic surgery, where new approaches and methods are advocated for pathologies in the orbital apex, a detailed understanding is vital to avoid major complications in these patients.
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References
Danko I, Haug RH. An experimental investigation of the safe distance for internal orbital dissection. J Oral Maxillofac Surg. 1998;56(6):749.
Yilmazlar S, Saraydaroglu O, Korfali E. Anatomical aspects in the transsphenoidal-transethmoidal approach to the optic canal: an anatomic-cadaveric study. J Cranio Maxillofacial Surg. 2012;40(7):e198.
Martins C, Costa e Silva IE, Campero A, Yasuda A, Aguiar LR, Tatagiba M, et al. Microsurgical anatomy of the orbit: the rule of seven. Anat Res Int. 2011;2011:1–14.
Renn WH, Rhoton AL. Microsurgical anatomy of the sellar region. J Neurosurg. 1975;43(3):288–98.
Piniara A, Georgalas C. Surgical anatomy of the orbit, including the intraconal space. Endosc Surg Orbit. 2021:18–27.
Engin, Adriaensen GFJPM, Hoefnagels FWA, Saeed P. A systematic review of the surgical anatomy of the orbital apex. Surg Radiol Anat. 2021;43(2):169–78. https://doi.org/10.1007/s00276-020-02573-w.
Ji Y, Qian Z, Dong Y, Zhou H, Fan X. Quantitative morphometry of the orbit in Chinese adults based on a three-dimensional reconstruction method. J Anat. 2010;217(5):501.
Kang HS, Han JJ, Oh HK, Kook MS, Jung S, Park HJ. Anatomical studies of the orbital cavity using three-dimensional computed tomography. J Craniofac Surg. 2016;27(6):1583–8.
Turvey TA, Golden BA. Orbital anatomy for the surgeon. Oral Maxillofac Surg Clin North Am. 2012;24:525.
Smerdon D. Anatomy of the eye and orbit. Curr Anaesth Crit Care. 2000;11(6):286.
Forrester J V., Dick AD, McMenamin PG, Roberts F, Pearlman E. Anatomy of the eye and orbit. Eye. 2016.
Sanchez-Diaz PC. Anatomy of the eye and orbit—the clinical essentials. Optom Vis Sci. 2018;95(7):627.
Reymond J, Kwiatkowski J, Wysocki J. Clinical anatomy of the superior orbital fissure and the orbital apex. J Cranio Maxillofacial Surg. 2008;36(6):346–53.
Aldea S, Brauge D, Gaillard S. How I do it: endoscopic endonasal approach for odontoid resection. Neurochirurgie. 2018;64(3):194–7. https://doi.org/10.1007/s00701-021-04900-5.
Patil GV, Kolagi S, Padmavathi G, Rairam GB. The duplication of the optic canals in human skulls. J Clin Diagn Res. 2011;5(3):536–7.
Bertelli E. Metoptic canal, duplication of the optic canal and Warwick’s foramen in human orbits. Anat Sci Int. 2014;89(1):34.
Ghai R, Sinha P, Rajguru J, Jain S, Khare S, Singla M. Duplication of optic canal in human skulls. J Anat Soc India. 2012;61(1):33.
Scangas GA, Bleier BS, Dagi-glass LR. Anatomy of the orbit and paranasal sinuses. Endosc Surg Orbit. 2018;1:1–9.
Perrini P, Cardia A, Fraser K, Lanzino G. A microsurgical study of the anatomy and course of the ophthalmic artery and its possibly dangerous anastomoses. J Neurosurg. 2007;106(1):142.
Zoli M, Manzoli L, Bonfatti R, Ruggeri A, Mariani GA, Bacci A, et al. Endoscopic endonasal anatomy of the ophthalmic artery in the optic canal. Acta Neurochir. 2016;158(7):1343.
Huynh-Le P, Natori Y, Sasaki T. Surgical anatomy of the ophthalmic artery: its origin and proximal course. Neurosurgery. 2005;57(4 Suppl):ONS-236.
Michalinos A, Zogana S, Kotsiomitis E, Mazarakis A, Troupis T. Anatomy of the ophthalmic artery: a review concerning its modern surgical and clinical applications. Anat Res Int. 2015;2015:1.
Regoli M, Bertelli E. The revised anatomy of the canals connecting the orbit with the cranial cavity. Orbit. 2017;36:110.
Shi X, Han H, Zhao J, Zhou C. Microsurgical anatomy of the superior orbital fissure. Clin Anat. 2007;20(4):362.
Natori Y, Rhoton AL. Microsurgical anatomy of the superior orbital fissure. Neurosurgery. 1995;36(4):762.
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© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
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Chow, S.W.J. (2023). Anatomy of the Orbital Apex. In: POON, T.L., MAK, C., YUEN, H.K.L. (eds) Orbital Apex and Periorbital Skull Base Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-99-2989-4_2
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DOI: https://doi.org/10.1007/978-981-99-2989-4_2
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