Morphometric Analysis of Bone Resection in Anterior Petrosectomies

Osama Ahmed, Jonathan Walther, Krystle Theriot, Morganne Manuel, Bharat Guthikonda

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Introduction The anterior petrosectomy is a well-defined skull base approach to lesions such as petroclival meningiomas, posterior circulation aneurysms, petrous apex lesions (chondrosarcomas, cholesteatomas), ventrolateral brainstem lesions, clival chordomas, trigeminal neurinomas, and access to cranial nerves III, IV, V, and VII. Methods and Materials Fourteen anterior petrosectomies on eight cadaveric heads were performed in a skull base dissection laboratory. Predissection and postdissection thin-cut computed tomography scans were obtained to compare the bone resection. A computer program was used (InVivo5, Anatomage, San Jose, California, United States) to measure the bone resection and the improved viewing angle. Results The average bone removed in each plane was as follows: anterior to posterior plane was 10.57 mm ± 2.00 mm, superior to inferior was 9.39 mm ± 1.67 mm, and lateral to medial was 17.46 mm ± 4.64 mm. The average increased angle of view was 13.01 ± 2.35 degrees (Table 1). The average volume was 1786.94 ± 827.40 mm3. Conclusions Anterior petrosectomy is a useful approach to access the ventrolateral brainstem region. We present a cadaveric study quantitating the volume of bone resection and improvement in the viewing angle. These data provide useful preoperative information on the utility of this skull base approach and the gain in the viewing angle after bony removal.

Original languageEnglish (US)
Article number140131
Pages (from-to)238-242
Number of pages5
JournalJournal of Neurological Surgery, Part B: Skull Base
Volume77
Issue number3
DOIs
StatePublished - Jun 1 2016

Keywords

  • anterior petrosectomy
  • brainstem
  • middle fossa
  • skull base

ASJC Scopus subject areas

  • Clinical Neurology

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