Endoscopic endonasal surgery for petrous apex lesions.

  title={Endoscopic endonasal surgery for petrous apex lesions.},
  author={Adam M. Zanation and Carl H. Snyderman and Ricardo L Carrau and Paul A. Gardner and Daniel Monte-Serrat Prevedello and Amin Kassam},
  journal={The Laryngoscope},
  volume={119 1},
BACKGROUND Endoscopic endonasal approaches to the ventral skull base are categorized based on their orientation in coronal and sagittal planes. For all of these approaches, the sphenoid sinus is the starting point, and provides orientation to important vascular and neural structures. Surgical approaches to the petrous apex include 1) a medial approach, 2) a medial approach with internal carotid artery (ICA) lateralization, and 3) a transpterygoid infrapetrous approach (inferior to the petrous… CONTINUE READING