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Meckel’s cave access: anatomic study comparing the endoscopic transantral and endonasal approaches

Overview of attention for article published in European Archives of Oto-Rhino-Laryngology, June 2013
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Title
Meckel’s cave access: anatomic study comparing the endoscopic transantral and endonasal approaches
Published in
European Archives of Oto-Rhino-Laryngology, June 2013
DOI 10.1007/s00405-013-2581-2
Pubmed ID
Authors

Jason Van Rompaey, Anand Suruliraj, Ricardo Carrau, Benedict Panizza, C. Arturo Solares

Abstract

Recent advances in endonasal endoscopy have facilitated the surgical access to the lateral skull base including areas such as Meckel's cave. This approach has been well documented, however, few studies have outlined transantral specific access to Meckel's. A transantral approach provides a direct pathway to this region obviating the need for extensive endonasal and transsphenoidal resection. Our aim in this study is to compare the anatomical perspectives obtained in endonasal and transantral approaches. We prepared 14 cadaveric specimens with intravascular injections of colored latex. Eight cadavers underwent endoscopic endonasal transpterygoid approaches to Meckel's cave. Six additional specimens underwent an endoscopic transantral approach to the same region. Photographic evidence was obtained for review. 30 CT scans were analyzed to measure comparative distances to Meckel's cave for both approaches. The endoscopic approaches provided a direct access to the anterior and inferior portions of Meckel's cave. However, the transantral approach required shorter instrumentation, and did not require clearing of the endonasal corridor. This approach gave an anterior view of Meckel's cave making posterior dissection more difficult. A transantral approach to Meckel's cave provides access similar to the endonasal approach with minimal invasiveness. Some of the morbidity associated with extensive endonasal resection could possibly be avoided. Better understanding of the complex skull base anatomy, from different perspectives, helps to improve current endoscopic skull base surgery and to develop new alternatives, consequently, leading to improvements in safety and efficacy.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 27 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 27 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 4 15%
Student > Postgraduate 4 15%
Professor > Associate Professor 4 15%
Other 3 11%
Student > Bachelor 2 7%
Other 5 19%
Unknown 5 19%
Readers by discipline Count As %
Medicine and Dentistry 15 56%
Agricultural and Biological Sciences 2 7%
Neuroscience 2 7%
Pharmacology, Toxicology and Pharmaceutical Science 1 4%
Unknown 7 26%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 31 October 2014.
All research outputs
#20,242,136
of 22,769,322 outputs
Outputs from European Archives of Oto-Rhino-Laryngology
#2,018
of 3,060 outputs
Outputs of similar age
#173,156
of 197,773 outputs
Outputs of similar age from European Archives of Oto-Rhino-Laryngology
#27
of 46 outputs
Altmetric has tracked 22,769,322 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,060 research outputs from this source. They receive a mean Attention Score of 3.1. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 46 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.