Surgical anatomy and nuances of the expanded endonasal transdorsum sellae and posterior clinoidectomy approach to the interpeduncular and prepontine cisterns: a stepwise cadaveric dissection of various pituitary gland transpositions

Autor:	Thaïs Cristina, Rejane-Heim, Giuliano, Silveira-Bertazzo, Ricardo L, Carrau, Daniel M, Prevedello
Rok vydání:	2020
Předmět:	Neuroanatomy Oculomotor Nerve Dissection Pituitary Gland Cadaver Humans Cavernous Sinus Endoscopy Nose Neurosurgical Procedures
Zdroj:	Acta neurochirurgica. 163(2)
ISSN:	0942-0940
Popis:	Excelsior knowledge of endoscopic anatomy and techniques to remove the natural barriers preventing full endonasal access to the interpeduncular and prepontine cisterns determines the ease of transposing the pituitary gland (hypophysiopexy) preserving the glandular function without manipulating the optic apparatus and the oculomotor nerves.Throughout stepwise cadaveric dissections, we describe the expanded endonasal approach (EEA) to the interpeduncular and prepontine cisterns with special references to the intricate anatomy of the region and techniques for hypophysiopexy and posterior clinoidectomies.This article illustrates sellar-diaphragmatic dural incisions and various "pituitary gland transpositions" techniques performed via extradural (lifting the gland still covered by both dural layers), interdural (transcavernous), and intradural (between the medial wall of the cavernous sinus and the pituitary tunica) to access the prepontine and interpeduncular cisterns.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::a89f5edb82eb3d55ee2c48501052bcf7 https://pubmed.ncbi.nlm.nih.gov/32949281 Zobrazit plný text záznamu Full text from SpringerLink