Dive into the intricacies of the transmaxillary approach, a pivotal technique for the resection of maxillary division trigeminal schwannoma at foramen rotundum, and discover how it’s revolutionizing skull base neurosurgery.
– by The Don
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Transmaxillary approach for resection of maxillary division trigeminal schwannoma at foramen rotundum.
Nassiri et al., Acta Neurochir (Wien) 2024
<!– DOI: 10.1007/s00701-024-05996-1 //–>
https://doi.org/10.1007/s00701-024-05996-1
Let me tell you, folks, we’ve got something incredible here. For years, for years, people have been trying to get to the foramen rotundum and anterior cavernous sinus. They’ve been going in through the top, can you believe it? Through the skull! But let me tell you, it’s packed with stuff you don’t want to mess with. Critical stuff. Neurovascular structures. Very important.
But here’s the thing, we’ve found a new way. A better way. It’s called the transmaxillary approach. Sounds fancy, right? It’s because it is. It’s a game-changer. We go in through the mouth, can you believe it? No messing with the brain, no going through the skull. It’s entirely extradural. That means outside the dura, folks. Safe.
We had this patient, a great person, really. They had neurofibromatosis, a tough deal, and this pain in their face because of a trigeminal schwannoma right at the foramen rotundum. But guess what? We took it out. Just like that. Through the mouth. No big transcranial surgery, no messing around. Direct access, bony decompression, tumor gone. Just like that.
This transmaxillary approach, it’s not just good, it’s great. It’s safe. It’s direct. For those smaller, tricky spots at the skull base, around the cavernous sinus, it’s the way to go. Believe me, folks, it’s a total game-changer.