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Skull Base Segment

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Surgical Anatomy of the Internal Carotid Artery

Abstract

This chapter illustrates the surgical anatomy of the most challenging portion of the internal carotid artery, surgically speaking. At this level, the carotid artery runs within the skull base, and it is therefore intracranial and extradural. Helpful surgical landmarks for approaching this tract of the vessel, both from lateral and from anterior endoscopic approaches, are reported, and particular emphasis is given to the anatomical relationship of the internal carotid artery with all the bony, neural, and vascular structures of the skull base, as well as with the middle ear.

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References

  • Bouthillier A, van Loveren H, Keller J (1996) Segments of the internal carotid artery: a new classification. Neurosurgery 38:425–433

    PubMed  CAS  Google Scholar 

  • Dallan I, Bignami M, Battaglia P et al (2010) Fully ­endoscopic transnasal approach to the jugular foramen: anatomic study and clinical considerations. Neurosurgery 67 (3 Suppl): ons1–7

    PubMed  CAS  Google Scholar 

  • Falcon RT, Rivera-Serrano CM, Miranda JF et al (2011) Endoscopic endonasal dissection of the infratemporal fossa: anatomic relationships and importance of eustachian tube in the endoscopic skull base surgery. Laryngoscope 121:31–41

    Article  PubMed  Google Scholar 

  • Fernandez-Miranda JC, Morera VA, Snyderman CH et al (2012) Endoscopic endonasal transclival approach to the jugular tubercle. Neurosurgery 71 (suppl1): ons146–159

    Article  PubMed  Google Scholar 

  • Herzallah IR, Casiano RR (2007) Endoscopic endonasal study of the internal carotid artery and variations. Am J Rhinol 21:262–270

    Article  PubMed  Google Scholar 

  • Janfaza P, Nadol JB Jr (2001a) Scalp, cranium, and brain. In: Janfaza P, Nadol JB Jr, Galla R, Fabian RL, Montgomery WW (eds) Surgical anatomy of the head and neck. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Janfaza P, Nadol JB Jr (2001b) Temporal bone and ear. In: Janfaza P, Nadol JB Jr, Galla R, Fabian RL, Montgomery WW (eds) Surgical anatomy of the head and neck. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Jinkins JR (2000) Atlas of neuroradiologic embryology, anatomy, and variants. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Kakizawa Y, Abe H, Fukushima Y et al (2007) The course of the lesser petrosal nerve on the middle cranial fossa. Neurosurgery 61(3 Suppl):15–23

    Article  PubMed  Google Scholar 

  • Lang J (1995) Skull base and related structures: atlas of clinical anatomy. Schattauer, Stuttgart

    Google Scholar 

  • Lasjaunias PL (1981) Craniofacial and upper cervical arteries: functional, clinical and angiographic aspects. Lippincott Williams & Wilkins, Baltimore

    Google Scholar 

  • Osawa S, Rhoton AL Jr, Tanriover N et al (2008) Microsurgical anatomy and surgical exposure of the petrous segment of the internal carotid artery. Neurosurgery 63(4 Suppl 2):210–238

    Article  PubMed  Google Scholar 

  • Paullus WS, Pait TG, Rhoton AL Jr (1977) Microsurgical exposure of the petrous portion of the carotid artery. J Neurosurg 47:713–726

    Article  PubMed  CAS  Google Scholar 

  • Porto AF Jr, Whicker J, Proud GO (1978) An anatomic study of the hypotympanic branch of Jacobson’s nerve. Laryngoscope 88:56–60

    PubMed  Google Scholar 

  • Tubbs RS, Hansasuta A, Loukas M et al (2007) Branches of the petrous and cavernous segments of the internal carotid artery. Clin Anat 20:596–601

    Article  PubMed  Google Scholar 

  • Ziyal IM, Ozgen T, Sekhar LN et al (2005) Proposed classification of segments of the internal carotid artery: anatomical study with angiographical interpretation. Neurol Med Chir (Tokyo) 45:184–191

    Article  Google Scholar 

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© 2013 Springer-Verlag Berlin Heidelberg

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Castelnuovo, P., Dallan, I., Tschabitscher, M. (2013). Skull Base Segment. In: Surgical Anatomy of the Internal Carotid Artery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29664-2_2

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  • DOI: https://doi.org/10.1007/978-3-642-29664-2_2

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-29663-5

  • Online ISBN: 978-3-642-29664-2

  • eBook Packages: MedicineMedicine (R0)

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