Endoscopic Endonasal Study of the Maxillary Nerve: A New Orientation

2007 ◽  
Vol 21 (5) ◽  
pp. 637-643 ◽  
Author(s):  
Islam R. Herzallah ◽  
Ezzeddin M. Elsheikh ◽  
Roy R. Casiano

Background Endoscopic endonasal procedures for advanced lesions involving the pterygopalatine fossa (PPF) and its various communications are increasingly performed. The maxillary division of the trigeminal nerve (V2) passes through the foramen rotundum and crosses the upper part of the PPF, with a risk of partial or complete injury during surgery in this complex region. Despite the available knowledge of the sinonasal anatomy, the endoscopic orientation of the V2 remains unclear and requires further analysis from this unique view. Methods Using an extended endoscopic approach, the PPF was dissected in 20 sides of 10 adult cadaver heads. The V2 also was followed anteriorly from the trigeminal ganglion, toward the infraorbital canal. The course and the neurovascular relationships of the V2 were studied. High-quality endoscopic images have been produced by coupling the video camera to a digital video recording system. Results The endoscopic course and relations of the V2 were carefully described. Important landmarks to identify and avoid injury of the nerve were discussed in relation to this unique view. Conclusion This study updates our understanding of the V2 anatomy from an endoscopic perspective. The medial to lateral inclination and drooping of the V2, as well as different relationships of the V2 with the vascular structures are important findings to be taken into consideration while endoscopically addressing related lesions.

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P76-P77
Author(s):  
Ross M. Germani ◽  
Islam Herzallah ◽  
Roy R Casiano

Objective 1)Introducing a new endoscopic orientation to the medial portion of the infratemporal fossa (ITF) which is not infrequently involved in sinonasal and related skull base pathologies. 2) Describing the anatomical details and measurement variations of some key ITF landmarks from the unique transnasal endoscopic perspective. Methods Using an extended endoscopic approach, the pterygopalatine and infratemporal fossae were dissected in 10 sides of 5 adult cadaver heads. After an extended transethmoid and transmaxillary approach, a plane of dissection along the pterygoid base and the infratemporal surface of the greater sphenoid wing was developed. The related masticatory muscles were dissected through the endoscopic approach. High quality images have been produced by coupling the video camera to a digital recording system. Results The foramen rotundum, ovale and spinosum were identified and new landmarks were described from the surgical endoscopic point of view. The sphenomandibularis muscle, recently named in anatomic literature, was also highlighted. Along with various neurovascular structures, the maxillary and mandibular divisions of the trigeminal nerve as well as the middle meningeal artery were identified. Columellar measurements to the foramen rotundum and ovale ranged from 6.1 to 8.0 cm for the former and 7.0 to 9.1 cm for the latter, with a mean of 6.75 cm and 7.78 cm respectively. Conclusions The current study provides a novel endo-scopic orientation to the medial ITF. Such knowledge should provide an anatomic basis for experienced surgeons to endo-scopically address this complex region with more safety and efficacy.


2016 ◽  
Vol 77 (S 01) ◽  
Author(s):  
Salman Syed ◽  
Marcelo Charles ◽  
Maria Peris-Celda ◽  
Carlos Pinheiro-Neto ◽  
Tyler Kenning

Author(s):  
Satoshi Koizumi ◽  
Masaaki Shojima ◽  
Shogo Dofuku ◽  
Akira Saito ◽  
Seiji Nomura ◽  
...  

2016 ◽  
Vol 62 (235) ◽  
pp. 835-846 ◽  
Author(s):  
MICHAŁ PĘTLICKI ◽  
CHRISTOPHE KINNARD

ABSTRACTA short-term series of quantitative observations of calving activity of Fuerza Aérea Glacier (Greenwich Island, the South Shetland Islands, Antarctica) was conducted in order to test new methods of monitoring calving. The volume of single calving events was quantified by combining terrestrial laser scanning (TLS) surveys with continuous video recording of the ice front. An empirical formula for area/volume scaling of the calved ice block was proposed based on the TLS measured calved ice volume and the calved ice front area obtained by manual delineation on the images acquired with the video camera. This combination of methods proves to be a valuable tool for glacier monitoring, providing both high-temporal resolution and precise quantitative measurements of the calving volume. The size distribution of calving events is best approximated by a power law and within the short period of observations (14 d) calving was found to be an intrinsic process not dependent on environmental forcings. Over the period of 21 January–04 February 2013 the ice flow velocity at the terminus of Fuerza Aérea Glacier was 0.26 ± 0.07 m d−1and the calving rate was 0.41 ± 0.07 m d−1.


1990 ◽  
Author(s):  
Kazuhiro Yoshihara ◽  
Ryuichi Katayama ◽  
Yutaka Yamanaka ◽  
Masaki Tsunekane ◽  
Yuzo Ono ◽  
...  

2017 ◽  
Vol 13 (4) ◽  
pp. 522-528 ◽  
Author(s):  
Kumar Abhinav ◽  
David Panczykowski ◽  
Wei-Hsin Wang ◽  
Carl H. Synderman ◽  
Paul A. Gardner ◽  
...  

Abstract BACKGROUND: The maxillary nerve (V2) can be approached via the open middle fossa approach. OBJECTIVE: To delineate the anatomy of V2 and its specific segments with respect to the endonasal landmarks. We present the endoscopic endonasal interdural middle fossa approach to V2 and its potential application for the treatment of perineural spread in sinonasal/skull base tumors. METHODS: Five human head silicon-injected specimens underwent bilateral endoscopic endonasal transpterygoid approaches. V2 prominence and the maxillary strut were identified in the lateral recess along with paraclival carotid protruberance. The regions superior and inferior to V2 corresponding to the anteromedial and anterolateral triangles of the middle fossa were exposed. RESULTS: V2 can be classified into 3 segments: interdural (from the Gasserian ganglion to the proximal part of the maxillary strut), intracanalicular (corresponding to the anteroposterior length of the maxillary strut), and pterygopalatine (distal to the maxillary strut and the site of its divisions). Endonasally, the average length of the interdural and the intracanalicular segments were approximately 9 and 4.4 mm, respectively. V2, following its division distal to the maxillary strut, was successfully dissected off the middle fossa dura and transected just distal to the Gasserian ganglion. CONCLUSION: Endonasally, the interdural segment can be safely mobilized between the periosteal and meningeal dural layers while ensuring the integrity of the middle fossa dura. This allows transection of infiltrated V2 to facilitate tumor resection without entering the intradural/arachnoidal space. Posteriorly, this is limited by the Gasserian ganglion and superomedially by the dural envelope surrounding the cavernous sinus and the paraclival carotid artery.


2019 ◽  
Vol 5 (1) ◽  
pp. 46
Author(s):  
Yulia Isnaini

This study was aimed at finding out Speech Acts Analysis on Teaching andLearning Process used by the Teacher in MAN 2 Mataram in Academic year 2016/2017. The method of this research is qualitative research The data of this research were the utterances performed by the Teachers of MAN 2 Mataram. The research instrument was the researcher himself. Participant is the subject from which the data obtained (Arikunto, 2010: 172)The Researcher’s participant actively classification speech act by the Teachers on teaching and learning process.T he instrument of data by using video camera and observation. To analyze the data Based on Louis (2005:181). This study used observation and video recording as an instrument of data collection, the researcher applied coding system. In this research, there are two validity principles applied by the researcher. The results of the research show that there are three classifications of speech act performed by the Teachers in the aching and learning process . The results of the research show that there are three classification of speech act performed by the Teachers in the aching and learning process. they are 4 data of locutionary act , 30 data of Illucotionary act, 7 data of Perlocutionary act . So the total of data were 41 data of speech act are used By the Teachers in MAN 2 Mataram.


2020 ◽  
Vol 2020 (2) ◽  
pp. 7-13
Author(s):  
Oxana Garifullaevna Koispaeva ◽  
Sergey Vladimirovich Golovko ◽  
Maksim Almansurovich Nadeev

The article touches upon the problems of interference in the electricity metering system and different types of electricity loss underestimation. It has been stated that in modern conditions the only effective way to identify and prevent violations is to install a remote electricity meter at the borderline of balance and operational responsibilities. РиМ 384.02 smart electricity meter is considered as an example. A picture of the device is presented and its main positive characteristics are listed. It has been proposed to introduce the twenty-four-hour video surveillance and video recording system into an expensive smart electricity meter in order to maintain the integrity and operability of the device. Video stream processing by means of machine vision and machine learning has been proposed. The economic feasibility of digitalization of the technological video surveillance system is being substantiated. The need of optimization of the electrical networks, the improvement of electricity metering system and of introducing the new information technologies in energy sales has been substantiated


2018 ◽  
Vol 79 (S 02) ◽  
pp. S201-S202 ◽  
Author(s):  
João Almeida ◽  
Suganth Suppiah ◽  
Claire Karekezi ◽  
Miguel Marigil-Sanchez ◽  
Jay Wong ◽  
...  

Objectives Extended endoscopic approaches are useful for resection of selected craniopharyngiomas. Midline, extraventricular, and predominantly cystic lesions are good candidates for endoscopic resection. In this video, we demonstrate the endoscopic endonasal resection of a large suprasellar craniopharyngioma and discuss the nuances of the surgical technique. Design/Setting Surgical video of an extended endoscopic approach for resection of a suprasellar craniopharyngioma. Results We report the case of a 56-year-old woman who presented with bitemporal hemianopsia and visual acuity deterioration secondary to a large suprasellar solid–cystic lesion. The patient underwent an extended endoscopic transtuberculum approach for resection of the lesion, which was diagnosed as a papillary craniopharyngioma. This video discusses the anatomy and surgical technique applied for endoscopic resection of such lesions. Conclusion Endoscopic endonasal surgery is a useful technique for management of craniopharyngiomas. It is associated with good clinical outcomes in selected cases. Complications, such as postoperative CSF leak, may occur and should be carefully managed.The link to the video can be found at: https://youtu.be/EneOCiQE7yo.


Sign in / Sign up

Export Citation Format

Share Document