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Operative neruosurgery by Roham Moftakhar, Yusuf Izci,

By Roham Moftakhar, Yusuf Izci,

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Study of their frequency and point of origin in 100 cases [in Spanish]. An Fac Odontol 25:5–20, 1989. 3. Cavallo LM, Cappabianca P, Galzio R, Iaconetta G, de Divitiis E, Tschabitscher M: Endoscopic transnasal approach to the cavernous sinus versus transcranial route: Anatomic study. Neurosurgery 56 [Suppl 2]:379–389, 2005. 4. Cavallo LM, Messina A, Gardner P, Esposito F, Kassam AB, Cappabianca P, de Divitiis, Tschabitscher M: Extended endoscopic endonasal approach to the pterygopalatine fossa: Anatomical study and clinical considerations.

The authors emphasized the importance of careful entry into the maxillary sinus and protection of the infraorbital nerve during periosteal elevation. The Caldwell-Luc approach used by otolaryngologists is an open approach. Our endoscopic modification requires a smaller anterior maxillotomy, and we anticipate that this significantly reduces the risk of facial asymmetry, oroantral fistula, and infraorbital nerve injury resulting in numbness or dysesthesias. Dental denervation is a theoretical problem with both anterior and posterior maxillotomy.

Laryngoscope 115:1785–1788, 2005. 20. Roche PH, Fournier HD, Laccourreye L, Mercier P: Surgical anatomy of the infratemporal fossa using the transmaxillary approach. Surg Radiol Anat 23:209–213, 2001. 21. Sabit I, Schaefer SD, Couldwell WT: Modified infratemporal fossa approach via lateral transantral maxillotomy: A microsurgical model. Surg Neurol 58:21–31, 2002. 22. Zabramski JM, Kiris T, Sankhla SK, Cabiol J, Spetzler RF: Orbitozygomatic craniotomy. Technical note. J Neurosurg 89:336–341, 1998.

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