
Anatomical landmarks of the petrous bone for the anterior transpetrosal approach: MDCTA study
Abstract
OBJECTIVE
One of the most important issues to be considered in surgical approaches is to protect healthy structures and not damage them. The anterior transpetrosal approach is a method frequently preferred by surgeons when necessary. In this approach, mastering the details of the anatomical structures will prevent possible damage to the surrounding neurovascular structures.
MATERIAL AND METHODS
This study is a retrospective file scanning study. The study performed using temporal CT images of 100 patients (50 female and 50 male, age range 20—65). In our study, the parameters measured and recorded in the axial and sagittal plane. Images containing fractures and deformities of the temporal bone and individuals without clear images were excluded from the study.
RESULTS
In our study, 7 different parameters of the petrose bone were measured and their average values were determined. The data obtained were compared between genders and in terms of lateralization. The averages and the significance of the difference between them are given in tables.
CONCLUSION
Anatomical details are important for any surgical intervention, but it is vital to know the anatomical details in interventions performed on such sensitive areas. We believe that the data we obtained regarding petrose bone in our study will contribute to creating a database in Turkish society and will guide entrepreneurs and surgeons.
Keywords
- anatomy
- internal carotid artery
- petrose bone
Дата поступления: 13.09.2024
Дата принятия в печать: 17.10.2024
Дата публикации: 13.03.2025
- Fournier HD, Mercier P, Roche PH. Surgical anatomy of the petrous apex and petroclival region. Adv Tech Stand Neurosurg. 2007;32:91-146. https://doi.org/10.1007/978-3-211-47423-5_5
- Mangussi-Gomes J, Alves-Belo JT, Truong HQ, Nogueira GF, Wang EW, Fernandez-Miranda JC, Gardner PA, Snyderman CH. Anatomical limits of the endoscopic contralateral transmaxillary approach to the petrous apex and petroclival region. J Neurol Surg B Skull Base. 2020;83(1):44-52. https://doi.org/10.1055/s-0040-1716693
- Almefty R, Dunn IF, Pravdenkova S, Abolfotoh M, Al-Mefty O. True petroclival meningiomas: results of surgical management. J Neurosurg. 2014;120(1):40-51. https://doi.org/10.3171/2013.8.jns13535
- Gao B, Zhang Y, Tan J, Ouyang J, Tai B, Cao X, Li T, Hu S. Surgical Treatment and Clinical Outcomes of Petroclival Meningiomas: A Single-Center Experience of 107 Patients. Front Oncol. 2021;11:761284. https://doi.org/10.3389/fonc.2021.761284
- Lin Y, Gao Q, Jin H, Wang N, Xu D, Wang F, Guo AB, Zang W, Li Z, Guo F. Analysis of Approaches in the Microsurgical Treatment of 102 Cases of Petroclival Meningioma in a Single Center. Front Neurol. 2021;12:627736. https://doi.org/10.3389/fneur.2021.627736
- Kawase T, Shiobara R, Toya S. Anterior transpetrosaltranstentorial approach for sphenopetroclival meningiomas: surgical method and results in 10 patients. Neurosurgery 1991;28:869-875. https://doi.org/10.1097/00006123-199106000-00014
- Cheng Y, Cao J, Chen Z, Geng H, Wu X, Zhang L, Bai J, Xiao X. Anatomic study of petrous bone and ıts surrounding structures in the extended anterior transpetrosal approach. J Craniofac Surg. 2023; 34(8): 2536-2539. https://doi.org/10.1097/SCS.0000000000009673
- Wanibuchi, M. Microsurgical Anatomy of the Petrous Part of the Temporal Bone. No Shinkei geka. Neurol Surg. 2022;50(3):516-524. https://doi.org/10.11477/mf.1436204582
- Ichimura, S., Hori, S., Hecht, N., Czabanka, M., & Vajkoczy, P. Intradural anterior transpetrosal approach. Neurosurg Rev. 2016; 39:625-631. https://doi.org/10.1007/s10143-016-0711-1
- Aoyagi M, Kawano Y, Tamaki M, Tamura K, & Ohno K. Combined extradural subtemporal and anterior transpetrosal approach to tumors located in the interpeduncular fossa and the upper clivus. Acta Neurochirurgica. 2013;155:1401-1407. https://doi.org/10.1007/s00701-013-1765-2
- Peker HO. Petröz Kemik Anatomisi ve Anterior Petrözektomi. Türk Nöroşirürji Dergsi. 2020;30(1):22-30.
- Vaz-Guimarães F, Neto SDSC, Valença MM. Posterior Transpetrosal Approaches to the Posterior Cranial Fossa: radiological preoperative assessment and microneurosurgical anatomy. J Bras Neurocirur. 2023;34(3):304-310. https://doi.org/10.22290/jbnc.2023.340304
- Yüncü ME, Karadag A, Polat S, CamlarM., Bilgin B, Quiñones-Hinojosa A, Tanriover N. Comparison of the Retrosigmoid Suprameatal and Anterior Subtemporal Transpetrosal Approaches After Full Exposure of the Internal Acoustic Meatus. Operative Neurosurg. 2023;25(3):e126-e134. https://doi.org/10.1227/ons.0000000000000752
- Bernardo A, Evins AI. Transpetrosal routes to the skull base—anterior and posterior transpetrosal approaches. World Neurosurg. 2023;172:146-162. https://doi.org/10.1016/j.wneu.2022.11.054
- Aoun MA, Nasr AY, Aziz AMA. Morphometric study of the carotid canal. Life Science J. 2013;10(3):2559-2562. https://doi.org/10.7537/marslsj100313.370
- Chin OY, Ghosh R, Fang CH, Baredes S, Liu JK, Eloy JA. Internal carotid artery injury in endoscopic endonasal surgery: a systematic review. The Laryngoscope. 2016;126(3):582-590. https://doi.org/10.1002/lary.25748
Recommended articles:
Original thrombectomy combined with stenting for symptomatic internal carotid artery stenosis in early period of ischemic stroke.Pirogov Russian Journal of Surgery. 2026;(10):109-116
Possibilities of MRI in assessment of changes in the anatomy of the orbilus oculus muscle following facial invasive cosmetic and surgical interventions.Russian Journal of Operative Surgery and Clinical Anatomy. 2026;10(2):5-13
Standardized multi-planar sections of the fetal pelvis as the basis for prenatal MRI-diagnostics.Russian Journal of Operative Surgery and Clinical Anatomy. 2025;9(4):52-59
Beautiful relationship between art and medicine: from clay modeling to auricular cartilage modeling.Plastic Surgery and Aesthetic Medicine. 2025;(3-2):71-77
Thyroid mini-access on the anterior surface of the neck (anatomo-clinical study).Russian Journal of Operative Surgery and Clinical Anatomy. 2025;9(3):29-40
Morphometric analysis of the topographic-anatomical relationships between the foramen ovale and other skull base structures in the context of exoendoscopic Gasserion ganglion anatomy.Russian Journal of Operative Surgery and Clinical Anatomy. 2025;9(3):12-22
Risk factors of internal carotid artery tortuosity.Russian Journal of Cardiology and Cardiovascular Surgery. 2025;18(2):150-155
Conservative treatment for avascular necrosis of the femoral head: a systematic review.Regenerative Biotechnologies, Preventive, Digital and Predictive Medicine. 2024;1(4):52-67
Endoscopic anatomy of Kambin’s triangle.Russian Journal of Operative Surgery and Clinical Anatomy. 2024;8(4):55-60
Anatomical features and age-related changes of the upper eyelids in Asian peoples.Plastic Surgery and Aesthetic Medicine. 2024;(4):65-76
