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dc.contributor.authorÖzbek, Muhammet Arif
dc.contributor.authorBaşak, Ahmet Tulgar
dc.contributor.authorÇakıcı, Nazlı
dc.contributor.authorŞakul, Bayram Ufuk
dc.contributor.authorAkalan, Nejat
dc.date.accessioned2022-08-08T08:35:04Z
dc.date.available2022-08-08T08:35:04Z
dc.date.issued2022en_US
dc.identifier.citationÖzbek, M. A., Başak, A. T., Çakıcı, N., Şakul, B. U. ve Akalan, N. (2022). The endoscopic trans-sinusoidal trans-pterygopalatine route to the foramen rotundum approach in trigeminal neuralgia treatment. Turkish Neurosurgery, 32(4), 603-611. https://doi.org/10.5137/1019-5149.JTN.30283-20.3en_US
dc.identifier.issn1019-5149
dc.identifier.urihttps://doi.org/10.5137/1019-5149.JTN.30283-20.3
dc.identifier.urihttps://hdl.handle.net/20.500.12511/9638
dc.description.abstractAIM: To describe a new, minimally invasive, and safe access to foramen rotundum via the endoscopic endonasal trans-sinusoidal route for trigeminal nerve blockage. MATERIAL and METHODS: We studied 5 fresh cadavers bilaterally, and 10 pterygopalatine fossae and maxillary nerves using the endoscopic endonasal trans-sinusoidal trans-pterygopalatine approach. RESULTS: The proposed approach enabled the maxillary nerve to be visualized after revealing the foramen rotundum with the help of some craniometric measurements. Distance between sphenoid sinus lateral wall and maxillary sinus posterior wall was measured. This measurement was found to be an important triangulation point to determine the location of the entrance to the pterygopalatine fossa. The distance between the foramen rotundum and the sphenopalatine artery was found to be significant. The foramen rotundum diameter was calculated, and the maxillary nerve was found to be situated inferolateral to the foramen rotundum. Therefore, the safe entry zone was determined superomedially. No significant difference was found between male and female and the right and left nostrils. CONCLUSION: Various surgical procedures have been applied to treat drug-resistant trigeminal neuralgia. Nevertheless, their cure rates remain less than anticipated. Recurrences up to 30% have been reported in the literature. In this study, the endoscopic endonasal transmaxillary trans-pterygopalatine route offers a new perspective on the foramen rotundum approach and provides a panoramic and safe view in previously high-risk percutaneous interventions.en_US
dc.language.isoengen_US
dc.publisherTurkish Neurosurgical Societyen_US
dc.rightsinfo:eu-repo/semantics/embargoedAccessen_US
dc.subjectCraniometricen_US
dc.subjectEndoscopicen_US
dc.subjectTrans-Pterygopalatineen_US
dc.subjectTrigeminal Neuralgiaen_US
dc.titleThe endoscopic trans-sinusoidal trans-pterygopalatine route to the foramen rotundum approach in trigeminal neuralgia treatmenten_US
dc.typearticleen_US
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalıen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Anatomi Ana Bilim Dalıen_US
dc.authorid0000-0002-1847-2562en_US
dc.authorid0000-0002-5539-2342en_US
dc.authorid0000-0003-1447-9051en_US
dc.identifier.volume32en_US
dc.identifier.issue4en_US
dc.identifier.startpage603en_US
dc.identifier.endpage611en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.5137/1019-5149.JTN.30283-20.3en_US
dc.institutionauthorÖzbek, Muhammet Arif
dc.institutionauthorŞakul, Bayram Ufuk
dc.institutionauthorAkalan, Nejat
dc.identifier.wosqualityQ4en_US
dc.identifier.wos000838824600009en_US
dc.identifier.scopus2-s2.0-85135000932en_US
dc.identifier.pmid34859829en_US
dc.identifier.scopusqualityQ3en_US


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