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

Previous Articles     Next Articles

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

PDF (PC)

723

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
[1] Pasquini E, Sciarretta V, Fameti G, et al. Endoscopic endonasal approach for the treatment of benign schwannoma of the sinonasal tract and pterygopalatine fossa[J]. Am J Rhinol, 2002, 16(2):113-118.
[2] 张秋航, 杨大章, 韩军. 内镜经鼻翼腭窝肿瘤切除术[J]. 中国微侵袭神经外科杂志, 2006, 11(10):441-442. ZHANG Qiuhang, YANG Dazhang, HAN Jun. Endoscopic endonasal surgery for tumors in the pterygopalatine fossa[J]. Chin J Mini Invas Neurosurg, 2006, 11(10):441-442.
[3] 王刚, 陈雷, 韩东一. 颞下窝、翼腭窝占位性病变微创手术治疗(附4例报告) [J]. 中华耳科学杂志, 2008, 6(1):86-88. WANG Gang, CHEN Lei , HAN Dongyi. Minimal invasive surgery for space-occupying lesions in the infratemporal fossa and pterygopalatine fossa: a report of 4 cases[J]. Chin J Otol, 2008, 6(1):86-88.
[4] Xu F, Sun X, Hu L, et al. Endoscopic surgical treatment of neurogenic tumor in pterygopalatine and infratemporal fossae via extended medial maxillectomy[J]. Acta Otolaryngol, 2011, 131(2):161-165.
[5] 别远志, 孙敬武, 孙家强,等. 内镜下鼻腔泪前隐窝-上颌窦径路切除翼腭窝肿瘤[J]. 中华耳鼻咽喉头颈外科杂志, 2012, 47(1):26-29. BIE Yuanzhi, SUN Jingwu, SUN Jiaqiang, et al. Endoscopic transnasal prelacrimal recess-maxillary sinus approach for tumors in the pterygopalatine fossa[J]. Chin J Otorhinolaryngol Head Neck Surg, 2012, 47(1):26-29.
[6] 周兵, 黄谦, 崔顺九,等. 内镜下经鼻泪前隐窝径路切除翼腭窝及颞下窝神经鞘瘤[J]. 中华耳鼻咽喉头颈外科杂志, 2013, 48(10):802-806. ZHOU Bing, HUANG Qian, CUI Shunjiu, et al. Removal of Schwannoma in the pterygopalatine and infratemperal fossa via endoscopic prelacrimal recess approach[J]. Chin J Otorhinolaryngol Head Neck Surg, 2013, 48(10):802-806.
[7] Guo T, Sun J W, Wang Y F, et al. Endoscopic endonasal surgery for pterygopalatine fossa schwannoma via prelacrimal recess-maxillary sinus[J]. B-ENT, 2014, 10(1):81-86.[8] 李华斌, 张绍祥, 许庚,等. 经鼻内窥镜翼腭窝手术的应用解剖学基础[J].中国临床解剖学杂志, 2001, 19(2):101-103. LI Huabin, ZHANG Shaoxiang, XU Geng, et al. Anatomic basis of endoscopic transnasal surgery in the pterygopalatine fossa[J]. Chin J Clin Anat, 2001, 19(2):101-103.
[9] Alfieri A, Jho H D, Schettino R, et al. Endoscopic endonasal approach to the pterygopalatine fossa:anatomic study[J]. Neurosurgery, 2003, 52(2):374-378.
[10] 盖志, 孙树岩. 鼻内镜下翼腭窝区解剖观察[J].中国耳鼻咽喉头颈外科, 2005, 12(8):499-501. GAI Zhi, SUN Shuyan. Applied anatomic study on the pterygopalatine fossa and its clinical significance[J]. Chin Arch Otolaryngol Head Neck Surg, 2005, 12(8):499-501.
[11] 张勤修, 刘世喜, 安会明,等. 翼腭窝鼻内镜临床解剖学研究[J].中华耳鼻咽喉头颈外科杂志, 2006, 41(1):35-37. ZHANG Qinxiu, LIU Shixi, AN Huiming, et al. Anatomic study of pterygopalatine fossa under endoscope[J]. Chin J Otorhinolaryngol Head Neck Surg, 2006, 41(1):35-37.
[12] 邓彬华, 彭玉成, 范静平,等. 鼻内镜下处理翼腭窝病变的应用解剖[J]. 第二军医大学学报, 2006, 27(8):820-822. DENG Binhua,PENG Yucheng, FAN Jingping, et al. Applied anatomy for management of pterygopalatine fossa lesions via endoscopic transnasal approach[J]. Acad J Sec Milit Med Univ, 2006, 27(8):820-822.
[13] 柳林整, 刘红军, 李维民. 翼管走行的解剖测量及其临床意义[J]. 山东大学耳鼻喉眼学报, 2008,22(2):139-141. LIU Linzheng, LIU Hongjun, LI Weimin. Measurement of pterygoid canal and its clinical significance[J]. J Otolaryngol Ophthalmol Shandong Univ, 2008, 22(2):139-141.
[14] Abuzayed B, Tanriover N, Gazioglu N, et al. Extended endoscopic endonasal approach to the pterygopalatine fossa: anatomic study[J]. J Neurosurg Sci, 2009, 53(2):37-44.
[15] 敖勇, 张华. 鼻内镜下经鼻腔入路翼腭窝解剖学研究[J]. 临床耳鼻咽喉头颈外科杂志, 2009, 23(12):535-538. AO Yong, ZHANG Hua. The anatomical study of the pterygopalatine fossa under endoscopy via the nasal cavity approach[J]. J Clin Otorhinolaryngol Head Neck Surg, 2009, 23(12):535-538.
[1] ZHOU Peng, SU Kaiming. The basic anatomical considerations for functional rhinoplasty [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 37-41.
[2] . The endoscopic endonasal transpterygoid approach in lateral midline skull base. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(2): 16-24.
[3] . Treatment of tumors in pterygopalatine fossa by endoscopy. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(2): 12-15.
[4] XIE Chang, YAN Bin, LI Jianxing, LU Yongtian. Anatomical and clinical evaluation of the endoscopic transoral transpharyngeal approach to the atlantoaxial. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 47-51.
[5] DENG Yuqin, YANG Yaqi, TAO Zezhang, KONG Yonggang, XU Yu, CHEN Shiming. The relationship between the sinusitis and anatomic variations in ostiomeatal complex. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 46-49.
[6] LÜ Zhenghua. Decompression of recurrent nerve. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 17-19.
[7] WANG Gang, HU Jinwang, TAO Wei, WU Changsong, WEI Pingcun. Anatomy of lacrimal sac to endoscopic transnasal dacryocystorhinostomy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 26-28.
[8] MENG Qingguo, LU Yongtian, WU Xiaoliu, LI Jianxing, SUN Huanji, ZHANG Baoying, XIE Chang. The groove behind the palatovaginal canal: a landmark for identification of the palatovaginal canal [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(5): 55-61.
[9] ZHANG Baoying, LU Yongtian, LI Jianxing. Transoral endoscopic dissection of parapharyngeal space. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(4): 38-41.
[10] JIN Yong-gang, LI Jian-rui, ZHANG Dong, WANG Yu, LIU Ning-ning, QIAN Hai-long. Adenoidectomy with low-temperature plasma stripping-pushing-ablation under nasal endoscopy for children with adenoidal hypertrophy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(2): 65-67.
[11] ZHANG Tao. Applied anatomy of the lateral skull base [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(3): 56-58.
[12] CHEN Xi1, ZHANG Yong-jie2, LU Mei-ping1, YIN Lin3, CHENG Lei1. Anatomical study of submental artery island flap [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(4): 59-61.
[13] LIU BO1, ZHANG Zhen-hua2, GAO Ai-min3. Relationship between anatomic abnormality of the nasal cavity and the nasal sinus and chronic sinusitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(6): 41-43.
[14] MA Jun-wei, LIU Ting-ting, ZHANG Nian-kai. Applied anatomy of endoscopic frontal sinus surgery  through the nasal septum [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2011, 25(2): 54-56.
[15] CHEN Ying, DENG Ke-bin, ZHANG Li-ya, LIN You-ping. Rhinogenous headache related to abnormal anatomy of nasal cavity and treatment with nasal endoscopic surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(6): 33-35.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd