JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (2): 58-61.doi: 10.6040/j.issn.1673-3770.0.2014.328

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Endoscopic endonasal approach to the pterygopalatine fossa: an anatomic study

SHEN Peng1, SUN Zhong-wu2, LI Jian-rui1, YANG Li-jun1, MA Liang2, ZHANG Ming-sheng2   

  1. 1. Department of Otolaryngology, Beijing Chuiyangliu Hospital Affiliated to Tsinghua University, Beijing 100022, China;
    2. Department of Otolaryngology, Beijing Aerospace General Hospital, Beijing 100076, China
  • Received:2014-09-28 Online:2015-04-16 Published:2015-04-16
  • Contact: 李建瑞。E-mail:ruixueshuo@sohu.com E-mail:ruixueshuo@sohu.com

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Abstract: Objective To investigate the related anatomy in the pterygopalatine fossa under endoscopy so as to provide anatomical data for endoscopic transnasal surgery. Methods Five (10 sides) cadaveric heads were dissected via sphenopalatine foramen approach and via the posterior wall of the maxillary sinus approach to show the pterygopalatine fossa, then the sphenoid sinus was dissected to show the optic nerve, internal carotid artery and other anatomical structures. Results Different approaches allowed for different exposure of the pterygopalatine fossa structures. All the important anatomical structures and their relations in and around the pterygopalatine fossa could be observed under endoscopy. Conclusion The endoscopic transnasal surgery in the pterygopalatine fossa is feasible and safe as if surgeons master the related anatomy and choose right cases.

Key words: Pterygopalatine fossa, Endoscopic surgical procedures, operative, Anatomy

CLC Number: 

  • R323.1
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