J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803491
Presentation Abstracts
Podium Presentations
Video Presentations
The Transpterygoid-Transmandibular Strut-Transmedial Jugular Tubercle Inferior Transpetrosal
Endoscopic Endonasal Approach as a Roadmap to the Parapharyngeal Internal Carotid
Artery: Clinical Case Presentation and Operative Video
Maria Karampouga
1
Department of Neurological Surgery, Center for Cranial Base Surgery, University of
Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
,
Liang Xa
1
Department of Neurological Surgery, Center for Cranial Base Surgery, University of
Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
,
Gregory J. Varga
1
Department of Neurological Surgery, Center for Cranial Base Surgery, University of
Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
,
Eric Wang
2
Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh,
Pennsylvania, United States
,
Carl H. Snyderman
2
Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh,
Pennsylvania, United States
,
Paul A. Gardner
1
Department of Neurological Surgery, Center for Cranial Base Surgery, University of
Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
,
Garret W. Choby
2
Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh,
Pennsylvania, United States
,
Georgios A. Zenonos
1
Department of Neurological Surgery, Center for Cranial Base Surgery, University of
Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
› Author Affiliations
The parapharyngeal internal carotid artery (ppICA) lacks reliable landmarks from an
endonasal perspective, making surgery in this region challenging. This video presents
the clinical application of the transpterygoid-transmandibular strut-transmedial jugular
tubercle inferior transpetrosal endoscopic endonasal approach as a roadmap to the
ppICA. It concerns a case of nasopharyngeal carcinoma of the right Rosenmuller fossa
whose resection entailed exposure of the paraclival and petrous carotid artery, which
subsequently enabled safe dissection of the ppICA.
Publication History
Article published online:
07 February 2025
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