Utility of the Vidian Canal in Endoscopic Skull Base Surgery: Detailed Anatomy and Relationship to the Internal Carotid Artery

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dc.contributor.authorAdin, Mehmet Emin
dc.contributor.authorOzmen, Cihan Akgul
dc.contributor.authorAygun, Nafi
dc.date.accessioned2024-04-24T16:18:37Z
dc.date.available2024-04-24T16:18:37Z
dc.date.issued2019
dc.departmentDicle Üniversitesien_US
dc.description.abstractOBJECTIVE: To investigate key anatomic features of the vidian canal that have a critical role in planning and performing endoscopic skull base surgeries. METHODS: We reviewed skull base computed tomographic images of 640 consecutive subjects. Studies were analyzed in axial, coronal and sagittal planes. RESULTS: The mean (+/- SD) length of the vidian canal was 15.4 +/- 2.0 mm in female subjects and 16.6 +/- 1.7 mm in male subjects, and the difference between genders was statistically significant (P<0.001). The most common rostral-caudal course of the vidian canal was medial to lateral and was followed by the straight course, tortuous course, and lateral-to-medial course. The frequency of pneumatization pattern from most common to least common was types 0, III, II and I. Of 342 evaluated sides, the vidian canal was located below the level of the anterior genu of petrous ICA in 303 (89%) sides, at same level with the anterior genu of petrous ICA in twenty-five(7%) sides, and above the level of the anterior genu of petrous ICA in fourteen(4.1%) sides. CONCLUSIONS: A variety of previously undefined features of the vidian canal that can alter the course of surgical procedure were defined. The position of the vidian canal with respect to the petrous internal carotid artery (ICA) was extensively described. From a surgical standpoint, a working room inferior and medial to the vidian canal might not always be a safe approach, because the vidian canal could be located superior to the level of the anterior genu of petrous ICA according to our findings in the present study.en_US
dc.description.sponsorshipScientific and Technological Research Council of Turkeyen_US
dc.description.sponsorshipMehmet Emin Adin thanks The Scientific and Technological Research Council of Turkey for their support.en_US
dc.identifier.doi10.1016/j.wneu.2018.09.048
dc.identifier.endpageE138en_US
dc.identifier.issn1878-8750
dc.identifier.issn1878-8769
dc.identifier.pmid30240854
dc.identifier.scopus2-s2.0-85054821584
dc.identifier.scopusqualityQ1
dc.identifier.startpageE132en_US
dc.identifier.urihttps://doi.org/10.1016/j.wneu.2018.09.048
dc.identifier.urihttps://hdl.handle.net/11468/16200
dc.identifier.volume121en_US
dc.identifier.wosWOS:000452897000019
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofWorld Neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnatomic Variationen_US
dc.subjectEndoscopic Surgeryen_US
dc.subjectMultidetector Computed Tomographyen_US
dc.subjectSkull-Baseen_US
dc.subjectSphenoid Sinusen_US
dc.subjectVidian Canalen_US
dc.titleUtility of the Vidian Canal in Endoscopic Skull Base Surgery: Detailed Anatomy and Relationship to the Internal Carotid Arteryen_US
dc.titleUtility of the Vidian Canal in Endoscopic Skull Base Surgery: Detailed Anatomy and Relationship to the Internal Carotid Artery
dc.typeArticleen_US

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