Application of multimodal electromagnetic navigation in endoscopic endonasal skull base anatomical measurement of fresh cadavers

doi:10.16098/j.issn.0529-1356.2023.05.009

Abstract

Abstract: Objective Electromagnetic navigation was used to observe and measure important anatomical structures through endoscopic endoscopic approach (EEA) to the ventral skull base to provide data for clinical surgery. Methods Using electromagnetic navigation to measure the anatomical structure of the central and paracentral ventral skull base on 10 fresh cadavers, the internal carotid artery (ICA) was the most important. Results Electromagnetic navigation helped to determine the course of important neurovascular. The ICA of the ventral skull base was divided into 5 segments+7 major branches, and the length and course of each were measured and recorded. Conclusion The identification and protection of ICA is the key to EEA treatment of ventral skull base lesions, and electromagnetic navigation assistance can improve the efficiency and safety of EEA surgery

Key words:

Internal carotid artery, Skull base, Endoscopic endonasal approach, Electromagnetic navigation, Anatomy, Measurement, Human

CLC Number:

R651.1

ZHOU Chun-hui XIE Sheng-qiang WANG Jiang-ting LAN Xiao-juan ZHANG Jian-ning ZHAO Hu-lin .

Application of multimodal electromagnetic navigation in endoscopic endonasal skull base anatomical measurement of fresh cadavers

[J]. Acta Anatomica Sinica, 2023, 54(5): 560-566.

References

［1］Cappabianca P, de Divitiis E. Back to the Egyptians: neurosurgery via the nose. A five-thousand year history and the recent contribution of the endoscope ［J］. Neurosurg Rev, 2007, 30(1):1-7.

［2］Grunert P, Gaab MR, Hellwig D, et al. German neuroendoscopy above the skull base ［J］. Neurosurg Focus, 2009, 27(3):E7.

［3］Sethi DS, Pillay PK. Endoscopic management of lesions of the sella turc ICA ［J］. J Laryngol Otol, 1995, 109(10):956-962.

［4］Jho HD, Carrau RL. Endoscopic endonasal transsphenoidal surgery: experience with 50 patients ［J］. J Neurosurg, 1997, 87(1):44-51.

［5］Snyderman CH, Pant H, Carrau RL, et al. What are the limits of endoscopic sinus surgery: the expanded endonasal approach to the skull base ［J］. Keio J Med, 2009, 58(3):152-160.

［6］Liu Q, Liu J, Wang H, et al. Endoscopic transpterygoid transmaxillary approach to the upper parapharyngeal space［J］. Acta Anatomica Sinica, 2021, 52(6):940-944. (in Chinese)

刘全, 刘娟, 王欢, 等. 内镜经翼突及上颌窦前壁上咽旁间隙的解剖［J］. 解剖学报, 2021,52(6):940-944.

［7］Kassam AB, Prevedello DM, Carrau RL, et al. The front door to meckel’s cave: an anteromedial corridor via expanded endoscopic endonasal approach- technical considerations and clinical series［J］. Neurosurgery，2009，64(3 Suppl): 71-83.

［8］Labib MA, Prevedello DM, FernandezMiranda JC, et al. The medial opticocarotid recess: an anatomic study of an endoscopic “key landmark” for the ventral cranial base ［J］. Neurosurgery, 2013, 72(1 Suppl Operative):6676.

［9］Truong HQ, Najera E, Zanabria-Ortiz R, et al. surgical anatomy of the superior hypophyseal artery and its relevance for endoscopic endonasal surgery［J］. J Neurosurg, 2018, 131(1):154-162.

［10］Truong HQ, Lieber S, Najera E, et al. The medial wall of the cavernous sinus. Part 1: Surgical anatomy, ligaments, and surgical technique for its mobilization and/or resection ［J］. J Neurosurg, 2018, 131(1):122-130.

［11］Ferrareze Nunes C, Lieber S, Truong HQ, et al. Endoscopic endonasal transoculomotor triangle approach for adenomas invading the parapeduncular space: surgical anatomy, technical nuances, and case series［J］. J Neurosurg, 2019, 130(4):1304-1314.

［12］Labib MA, Prevedello DM, Carrau R, et al. A road map to the internal carotid artery in expanded endoscopic endonasal approaches to the ventral cranial base ［J］. Neurosurgery, 2014, 10(Suppl 3):448-471.

［13］Kassam AB, Vescan AD, Carrau RL, et al. Expanded endonasal approach: vidian canal as a landmark to the petrous internal carotid artery ［J］. J Neurosurg, 2008, 108(1):177-183.

［14］Meybodi TA, Little AS, Vigo V, et al. The pterygoclival ligament: a novel landmark for localization of the internal carotid artery during the endoscopic endonasal approach ［J］. J Neurosurg, 2018, 130(5):1699-1709.

[1]	LIU Xiao-li XU Lin WU Ai-xue WEN Cai-yun LI Ru-hua WU An-ting CHEN Dai-qian CHEN Cheng-chun. Analysis of cerebral gray matter structure in multiple sclerosis and neuromyelitis optica [J]. Acta Anatomica Sinica, 2024, 55(1): 17-24.
[2]	YIN Shi-qin YANG Si-yi WANG Rui-han YOU Gui-xuan YANG Ying-qiu ZHANG Lei. Distal tibiofibular syndesmosis fibular notch typing and its clinical significance based on CT [J]. Acta Anatomica Sinica, 2024, 55(1): 82-87.
[3]	YANG Yang SHI Jun LI Kun MA Yuan ZHANG Shao-jie HOU Er-fei WANG Chao-qun CHEN Jie WANG Xing LI Zhi-jun. Finite element analysis of cervical intervertebral discs after removing different ranges of uncinate processes [J]. Acta Anatomica Sinica, 2024, 55(1): 88-97.
[4]	SUN Lei WANG Xing-yu XIE Shui-hua. Risk analysis of re-fracture after percutaneous kyphoplasty in elderly patients with osteoporotic thoracolumbar compression fractures and construction of acolumnar graph prediction model#br# [J]. Acta Anatomica Sinica, 2024, 55(1): 98-104.
[5]	YUAN Shuo ZHAO An-quan HUANG Qi-ri-mai-la-tu WU Hai-he XU Yong-sheng QI Yan-song BAO Hu-ri-cha. Association between posterior tibial slope and tibial torsion angle and recurrent patellar dislocation based on the full-length CT of the lower limbs [J]. Acta Anatomica Sinica, 2023, 54(6): 703-709.
[6]	ZHU Qiu-liang YU Xiang-ping MA Jun CHEN Yun-yun LIN Fang RUAN Wen-bin . Adjustment of X-ray angle intraoperation based on the anatomic shape of femoral neck section [J]. Acta Anatomica Sinica, 2023, 54(5): 586-592.
[7]	LIU Hai-lan MEI Yi-xuan ZHANG Yi LIU Cheng LIU Shu-wei. Classification and clinical significance of the branching patterns of the right pulmonary arteries based on the intravital CT data [J]. Acta Anatomica Sinica, 2023, 54(4): 453-459.
[8]	CHENG Zhi-han RAN Zhi-yu LING Liang-you HE Jia-ning. Sex differences in the morphology of the distal humerus in Ming and Qing Dynasties population in North China [J]. Acta Anatomica Sinica, 2023, 54(3): 328-334.
[9]	LI Yun-qing. Trends in neuroanatomical research [J]. Acta Anatomica Sinica, 2023, 54(3): 368-373.
[10]	XU Gao-lei LIU Jin YI Shi-qi ZHANG Yi-zheng ZHANG Zhen-hua . Anatomy of the original short head of biceps-muscular structure [J]. Acta Anatomica Sinica, 2023, 54(2): 216-219.
[11]	GAO Wen-fang ZHENG Lian-bin XU Fei ZHANG Xing-hua YU Ke-li. Body characteristics of adults from 17 minorities of the Tibeto-Burman language group in China [J]. Acta Anatomica Sinica, 2023, 54(1): 104-112.
[12]	XU Lin LIU Xiao-li CHEN Zheng-zhen WEN Cai-yun LI Chang-sheng LI Ru-hua CHEN Dai-qian CHEN Cheng-chun. Multi-index analysis of regional brain activity in patients with Alzheimer’s disease during resting state [J]. Acta Anatomica Sinica, 2023, 54(1): 75-81.
[13]	WANG Jian-wei LIU Huai-cun CHENG Quan-cheng DING Hui-ru SUN Yan-rong GU Pei-liang LUAN Ying-jie ZHANG Jun-wei ZHANG Wei-guang. Brain removal through a posterior incision on the scalp of both ears [J]. Acta Anatomica Sinica, 2023, 54(1): 123-125.
[14]	LI Yong-lan ZHENG Lian-bin. Facial changes of Mongolian nationality from youth to old age in China [J]. Acta Anatomica Sinica, 2022, 53(6): 793-801.
[15]	ZHANG Lei YANG Si-yi ZHANG Xiao-hong CAO Xing-wang XIA Zhang-rong ZHOU Xin. Anatomical characteristics and clinical significance of the syndesmosis based on MRI [J]. Acta Anatomica Sinica, 2022, 53(5): 628-632.