Please use this identifier to cite or link to this item: http://hdl.handle.net/2445/109562
Title: Extended Endoscopic Endonasal Approaches for Cerebral Aneurysms: Anatomical, Virtual Reality and Morphometric Study
Author: Di Somma, Alberto
Notaris, Mateo de
Stagno, Vita
Serra, Luis
Enseñat Nora, Joaquim
Alobid, Isam
San Molina, Joan
Berenguer, Joan
Cappabianca, Paolo
Prats Galino, Alberto
Keywords: Cirurgia endoscòpica
Visualització tridimensional
Realitat virtual
Aneurismes
Anatomia humana
Endoscopic surgery
Three-dimensional display systems
Virtual reality
Aneurysms
Human anatomy
Issue Date: 19-Jan-2014
Publisher: Hindawi
Abstract: Introduction. The purpose of the present contribution is to perform a detailed anatomic and virtual reality three-dimensional stereoscopic study in order to test the effectiveness of the extended endoscopic endonasal approaches for selected anterior and posterior circulation aneurysms. Methods. The study was divided in two main steps: (1) simulation step, using a dedicated Virtual Reality System (Dextroscope, Volume Interactions); (2) dissection step, in which the feasibility to reach specific vascular territory via the nose was verified in the anatomical laboratory. Results. Good visualization and proximal and distal vascular control of the main midline anterior and posterior circulation territory were achieved during the simulation step as well as in the dissection step (anterior communicating complex, internal carotid, ophthalmic, superior hypophyseal, posterior cerebral and posterior communicating, basilar, superior cerebellar, anterior inferior cerebellar, vertebral, and posterior inferior cerebellar arteries). Conclusion. The present contribution is intended as strictly anatomic study in which we highlighted some specific anterior and posterior circulation aneurysms that can be reached via the nose. For clinical applications of these approaches, some relevant complications, mainly related to the endonasal route, such as proximal and distal vascular control, major arterial bleeding, postoperative cerebrospinal fluid leak, and olfactory disturbances must be considered.
Note: Reproducció del document publicat a: https://doi.org/10.1155/2014/703792
It is part of: BioMed Research International, 2014, vol. 2014 , p. 1-9
Related resource: https://doi.org/10.1155/2014/703792
URI: http://hdl.handle.net/2445/109562
ISSN: 2314-6133
Appears in Collections:Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques)

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