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This article, published in the Journal of Neurological Surgery, explores the pterygoid-sphenoidal fissure (PSF) as a key landmark for accessing the foramen lacerum in pediatric endoscopic endonasal surgery. The study evaluates the morphometry and developmental variations of the PSF in a general pediatric population using computed tomography scans. The results show that the length, width, and morphology of the PSF vary significantly across different age groups. Understanding these radiological findings is important for preoperative planning and intraoperative guidance in pediatric endoscopic endonasal surgery. [Extracted from the article]

This article discusses seven different techniques for pituitary transposition in endoscopic endonasal surgery. The techniques are categorized based on their relationship with the dura mater and include extradural, hybrid extradural/intradural, interdural transcavernous, extended interdural transcavernous, intradural hemitransposition, intradural, and pituitary sacrifice. The article evaluates the clinical application and selection of these techniques in different anatomical regions and types of pathology. The authors emphasize the importance of selecting the most appropriate technique based on the specific case and preoperative pituitary function for successful surgical outcomes. [Extracted from the article]

This article, published in the Journal of Neurological Surgery, explores the microsurgical anatomy of the "true" petrous apex and the feasibility of accessing it through the endoscopic endonasal approach. The study conducted detailed dissections of post-mortem human specimens and identified key anatomical landmarks and neurovascular structures. The authors found that the endoscopic endonasal petrosectomy approach provides access to the "true" petrous apex, with two variants based on its relationship with the internal carotid artery. The study concludes that this approach is an effective surgical alternative for accessing lesions in this region. [Extracted from the article]

The article discusses the extreme lateral supracerebellar infratentorial and transtentorial (ELSIT) approach for accessing lesions in the ambient cistern, a challenging area due to its deep location and vital neurovascular structures. The study conducted a systematic dissection on post-mortem human specimens to investigate the anatomical landmarks and measurements of this approach. The ELSIT approach provides a narrow corridor leading to the ambient cistern, with specific landmarks such as the superior petrous vein and posterior root of the trigeminal nerve. Understanding these anatomical nuances is crucial for optimizing surgical outcomes and minimizing complications. [Extracted from the article]

Introduction  Understanding the anatomic features of the zygomatic nerve is critical for performing the endoscopic transmaxillary approach properly. Injury to the zygomatic nerve can result in facial numbness and corneal problems. Objective  To evaluate the surgical anatomy of the zygomatic nerve and its segments from an endoscopic endonasal perspective for clinical implications of performing the endoscopic transmaxillary approach. Methods  The origin, course, length, and segments of the zygomatic nerve were studied in four specimens from an endonasal perspective. Results  The zygomatic nerve arises 4.1 ± 1.7 mm from the foramen rotundum of the maxillary nerve in the superolateral pterygopalatine fossa (PPF). According to its anatomic region in endonasal endoscopic surgery, we divided the zygomatic nerve into two segments: the PPF segment, from origin to the point of entry under Muller's muscle, which runs superolaterally to the inferior orbital fissure (IOF) (length, 4.6 ± 1.3 mm), and the IOF segment, starting at the entry point in Muller's muscle and terminating at the exit point in the IOF, which travels between Muller's muscle and the great wing of the sphenoid bone (length, 19.6 ± 3.6 mm). In the transmaxillary approach, the zygomatic nerve is a critical landmark in the superolateral PPF. Conclusion  The zygomatic nerve travels in the PPF and the IOF; better visualization and preservation of this nerve during endonasal endoscopic surgery are crucial for successful outcomes. [ABSTRACT FROM AUTHOR]

This article, published in the Journal of Neurological Surgery, discusses a case presentation of a 2-year-old boy with a tubero-infundibular craniopharyngioma. The boy had a history of previous surgeries and developed visual abnormalities due to the growth of the tumor. The authors used an endoscopic endonasal transplanum approach to completely remove the tumor, resulting in improvement of visual symptoms. However, the patient did develop diabetes insipidus postoperatively. The article provides valuable insights into the treatment of pediatric patients with craniopharyngioma. [Extracted from the article]

This article discusses the surgical anatomy of the transmastoid transcervical intradural approach to the jugular foramen, which is a challenging area for skull base surgeons due to the presence of critical structures. The approach is versatile and allows for modifications to tailor it to specific tumors. The article provides a detailed description of the surgical steps and relevant anatomy, including variations such as vertebral artery transposition and facial nerve rerouting. The transmastoid transcervical intradural approach provides excellent exposure to the jugular foramen and surrounding areas, but precise knowledge of the anatomy is crucial due to the complex relationships of vital structures in this region. [Extracted from the article]