Posterior petrosal approach - analysis of the surgical technique in cadavers simulation

The aim of the study was to present consecutive stages of the posterior petrosal approach (PPA). Eighteen simulations of PPA were performed on non-fixed human cadavers without any known pathologies in the head and neck. The consecutive stages of the procedure were documented with photographs and schemes. The starting point for PPA is a temporal craniotomy, suboccipital craniectomy and mastoidectomy with keeping the bony labyrinth intact. Approach to the middle part of the clivus is achieved by raise of the temporal lobe and section of the superior petrosal sinus and tentorium and by mobilization the sigmoid sinus. Posterior petrosal approach is a reproducible technique, which provides surgical penetration of the middle clivus and related regions. It reduces the operating distance and allows to limit the cerebellum and temporal lobe traction and to preserve the anatomic integrity of the brain stem and cranial nerves of the cerebellopontine angle.

Medienart:

Artikel

Erscheinungsjahr:

2013

Erschienen:

2013

Enthalten in:

Zur Gesamtaufnahme - volume:47

Enthalten in:

Neurologia i neurochirurgia polska - 47(2013), 4 vom: 28. Juli, Seite 375-86

Sprache:

Polnisch

Weiterer Titel:

Dostęp skalisty tylny - analiza techniki operacyjnej na podstawie symulacji na zwłokach

Beteiligte Personen:

Ladziński, P [VerfasserIn]
Maliszewski, M [VerfasserIn]
Kaspera, W [VerfasserIn]
Majchrzak, K [VerfasserIn]
Tymowski, M [VerfasserIn]
Błaszczyk, B [VerfasserIn]

Themen:

English Abstract
Journal Article
Review

Anmerkungen:

Date Completed 05.12.2013

Date Revised 12.11.2019

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM230409083