title: Relative location of foramen ovale, foramen lacerum, and foramen spinosum in Hartel pathway.
abstract: Trigeminal neuralgia is a common disease in Chinese people. Minimal invasive transforaminal pathway is widely used in treating trigeminal neuralgia. The Hartel pathway is the most commonly used operation route, but it has potential to injure vessels such as arteria meningea media and the internal carotid artery. We measured the location of operation route, foramen spinosum, and foramen lacerum in a three-dimensional pattern. We found that to protect those 2 vessels, the angle and depth of puncture should be well regulated. The horizontal component of the angle between the needle axis and y axis should be more than 22 degrees in women and 20 degrees in men to avoid the injury of arteria meningea media. And for protecting the internal carotid artery, the depth of puncture should be less than 85 mm for women and 93 mm for men, or less than 9 mm after penetrating the meninges.
authors.affiliation: From the *Department of Thyroid Surgery, Sino-Japanese Friendship Hospital of Jilin University; †Department of Gastrointestinal Surgery, The First Affiliated Hospital of Jilin University; ‡Department of Anatomy, Changchun Medical College; §Department of Anatomy, College of Basic Medicine, Bethune Medicine Institute, Jilin University; and ∥Cancer Center of The First Affiliated Hospital of Jilin University, Changchun City, China.
authors.forename: Hao Yu
authors.initials: HY
authors.lastname: Zhu
authors.forename: Jun Mei
authors.initials: JM
authors.lastname: Zhao
authors.forename: Ming
authors.initials: M
authors.lastname: Yang
authors.forename: Chang Li
authors.initials: CL
authors.lastname: Xia
authors.forename: You Qiong
authors.initials: YQ
authors.lastname: Li
authors.forename: Hui
authors.initials: H
authors.lastname: Sun
authors.forename: Yi Qun
authors.initials: YQ
authors.lastname: Zhang
authors.forename: Yong
authors.initials: Y
authors.lastname: Tian
mesh_terms: D000328:Adult; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008576:Meningeal Arteries / Q000000981:diagnostic imaging; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D009339:Needles; D011677:Punctures / Q000379:methods; D012737:Sex Factors; D012886:Skull / Q000033:anatomy & histology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014277:Trigeminal Neuralgia / Q000000981:diagnostic imaging / Q000601:surgery; D055815:Young Adult