Skull Base 3D Modeling of Rigid Buttress for Gasket-Seal Closure Using Operative Endoscopic Imaging: Cadaveric Feasibility

James Shin; Jonathan Forbes; Kurt Lehner; Hilarie Tomasiewicz; Theodore H. Schwartz; C. Douglas Phillips

doi:10.1055/s-0038-1667023

Journal of Neurological Surgery Part B: Skull Base, Table of Contents

J Neurol Surg B Skull Base 2019; 80(01): 067-071
DOI: 10.1055/s-0038-1667023

Original Article

Georg Thieme Verlag KG Stuttgart · New York

Skull Base 3D Modeling of Rigid Buttress for Gasket-Seal Closure Using Operative Endoscopic Imaging: Cadaveric Feasibility

Authors

James Shin

¹Department of Radiology, Weill Cornell Medicine, Cornell University, New York, New York, United States
Jonathan Forbes

²Department of Neurosurgery, NewYork–Presbyterian/Weill Cornell Medicine, New York, New York, United States
Kurt Lehner

³Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hofstra University, Hempstead, New York, United States
Hilarie Tomasiewicz

²Department of Neurosurgery, NewYork–Presbyterian/Weill Cornell Medicine, New York, New York, United States
Theodore H. Schwartz

²Department of Neurosurgery, NewYork–Presbyterian/Weill Cornell Medicine, New York, New York, United States
C. Douglas Phillips

¹Department of Radiology, Weill Cornell Medicine, Cornell University, New York, New York, United States

Abstract

Surgical defect closure following endonasal transsphenoidal tumor resection is a critical component of procedural success. Three-dimensional (3D) modeling of relevant skull base anatomy during resection can potentially facilitate design of a custom rigid buttress for gasket-seal closure; however, access to conventional cross-sectional imaging intraoperatively is limited and cumbersome. Endoscopic imaging, by contrast, is always available. This work demonstrates the feasibility of 3D modeling of the visible skull base through structure-from-motion photogrammetric postprocessing techniques, providing a suitable template to design a gasket-seal buttress. Additionally, endoscopic 3D reconstruction of skull base surface anatomy may represent a more robust depiction of the surgical defect than is available by conventional 3D modeling with computed tomography, which suboptimally recapitulates very thin bones and mucosal surfaces typical of this regional anatomy.

Keywords

photogrammetry - gasket-seal - buttress - sellar reconstruction - transsphenoidal

Full Text

References

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