Nasal cavity-maxillary sinus-pterygopalatine fossa-Meckel's cave: a preliminary anatomic study of an endoscopy-based operative approach.
OBJECTIVE
To provide a new approach for the treatment of tumor in Meckel's cave, by dissecting adjacent structures of the nasal cavity-maxillary sinus-pterygopalatine fossa-Meckel's cave approach.


METHODS
Fifteen adult cadaver heads (30 sides) were dissected and the correlated anatomic landmarks were observed, measured and analyzed in an operative route.


RESULTS
The approach was divided into 3 steps: entering the maxillary sinus, the later pterygopalatine fossa and the final Meckel's cave. Safe access to Meckel's cave could be achieved by tracing the vidian neurovascular bundles and dissecting the quadrangular space (QS). The distances from the nasal columella to the apertura maxillaries, the sphenopalatine foramen, and the anterior foramen of the pterygoid canal were (44.08+/-2.61) mm, (64.83+/-2.42) mm, and (70.43+/-2.94) mm, respectively. The angles between the horizontal plate of the palatine bone and the link from nasal columella to apertura maxillaries, between the horizontal plate of the palatine bone and the link from nasal columella to sphenopalatine foramen were (38.10+/-2.46) degrees and (26.15+/-2.26) degrees , respectively.


CONCLUSIONS
The endoscopic approach of transnasal maxillary sinus-pterygopalatine fossa-Meckel's cave (ENMPA) is a safe and direct way to access Meckel's cave, and could be employed for the treatment of tumor in Meckel's cave.
Bai
Zhi-Qiang
ZQ
Department of Neurosurgery, Affiliated Hospital of Qingdao University Medical College, Qingdao, China.
Cai
En-Yuan
EY
Wang
Shi-Qiang
SQ
Li
Zhao-Jian
ZJ
Wang
Shou-Biao
SB
D004388:Dura Mater / Q000033:anatomy & histology* / Q000601:surgery; D006801:Humans; D008443:Maxillary Sinus / Q000033:anatomy & histology* / Q000601:surgery; D009296:Nasal Cavity / Q000033:anatomy & histology* / Q000601:surgery; D044583:Neuroendoscopy / Q000379:methods; D019635:Neurosurgical Procedures / Q000379:methods; D056739:Pterygopalatine Fossa / Q000033:anatomy & histology* / Q000601:surgery