{"id":"https://openalex.org/W2884776202","doi":"https://doi.org/10.1055/s-0038-1633470","title":"Three Different Routes to Reach to the Meckel's Cave Region: An Anatomical Study","display_name":"Three Different Routes to Reach to the Meckel's Cave Region: An Anatomical Study","publication_year":2018,"publication_date":"2018-02-01","ids":{"openalex":"https://openalex.org/W2884776202","doi":"https://doi.org/10.1055/s-0038-1633470","mag":"2884776202"},"language":"en","primary_location":{"id":"doi:10.1055/s-0038-1633470","doi":"https://doi.org/10.1055/s-0038-1633470","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0038-1633470","pdf_url":null,"source":{"id":"https://openalex.org/S4210197100","display_name":"Journal of Neurological Surgery Part B Skull Base","issn_l":"2193-6331","issn":["2193-6331","2193-634X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","norway-1","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurological Surgery Part B: Skull Base","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1055/s-0038-1633470","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5044945462","display_name":"Alejandro Monroy-Sosa","orcid":"https://orcid.org/0000-0001-7107-6166","observed_orcids":["https://orcid.org/0000-0001-7107-6166"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alejandro Monroy-Sosa","raw_affiliation_strings":["Aurora Neuroscience Innovation Institute, Milwaukee, Wisconsin, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Aurora Neuroscience Innovation Institute, Milwaukee, Wisconsin, United States","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036655461","display_name":"Srikant S. Chakravarthi","orcid":"https://orcid.org/0000-0002-3485-7470","observed_orcids":["https://orcid.org/0000-0002-3485-7470"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Srikant Chakravarthi","raw_affiliation_strings":["Aurora Neuroscience Innovation Institute, Milwaukee, Wisconsin, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Aurora Neuroscience Innovation Institute, Milwaukee, Wisconsin, United States","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058099648","display_name":"Lior Gonen","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lior Gonen","raw_affiliation_strings":["Aurora Neuroscience Innovation Institute, Milwaukee, Wisconsin, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Aurora Neuroscience Innovation Institute, Milwaukee, Wisconsin, United States","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077800722","display_name":"Melanie Brown Fukui","orcid":"https://orcid.org/0000-0001-9492-3081","observed_orcids":["https://orcid.org/0000-0001-9492-3081"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Melanie Fukui","raw_affiliation_strings":["Aurora Neuroscience Innovation Institute, Milwaukee, Wisconsin, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Aurora Neuroscience Innovation Institute, Milwaukee, Wisconsin, United States","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043496450","display_name":"Jonathan E. Jennings","orcid":"https://orcid.org/0000-0001-5806-5008","observed_orcids":["https://orcid.org/0000-0001-5806-5008"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jonathan Jennings","raw_affiliation_strings":["Aurora Neuroscience Innovation Institute, Milwaukee, Wisconsin, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Aurora Neuroscience Innovation Institute, Milwaukee, Wisconsin, United States","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039961300","display_name":"Richard Rovin","orcid":"https://orcid.org/0000-0003-2408-036X","observed_orcids":["https://orcid.org/0000-0003-2408-036X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Richard Rovin","raw_affiliation_strings":["Aurora Neuroscience Innovation Institute, Milwaukee, Wisconsin, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Aurora Neuroscience Innovation Institute, Milwaukee, Wisconsin, United States","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102725002","display_name":"Amin B. Kassam","orcid":"https://orcid.org/0000-0003-3134-1249","observed_orcids":["https://orcid.org/0000-0003-3134-1249","https://orcid.org/0000-0003-1590-5411"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Amin Kassam","raw_affiliation_strings":["Aurora Neuroscience Innovation Institute, Milwaukee, Wisconsin, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Aurora Neuroscience Innovation Institute, Milwaukee, Wisconsin, United States","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.15015427,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"79","issue":"S 01","first_page":"S1","last_page":"S188"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11669","display_name":"Head and Neck Surgical Oncology","score":0.9872999787330627,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11669","display_name":"Head and Neck Surgical Oncology","score":0.9872999787330627,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11812","display_name":"Nasal Surgery and Airway Studies","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10984","display_name":"Sinusitis and nasal conditions","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/meckel-s-cave","display_name":"Meckel's cave","score":0.9599999785423279},{"id":"https://openalex.org/keywords/expanded-endoscopic-endonasal-approach","display_name":"expanded endoscopic endonasal approach","score":0.9139999747276306},{"id":"https://openalex.org/keywords/trigeminal-ganglion","display_name":"trigeminal ganglion","score":0.7950000166893005},{"id":"https://openalex.org/keywords/vidian-nerve","display_name":"vidian nerve","score":0.9760000109672546},{"id":"https://openalex.org/keywords/cavernous-sinus","display_name":"cavernous sinus","score":0.6150000095367432},{"id":"https://openalex.org/keywords/skull-base-surgery","display_name":"skull base surgery","score":0.4440000057220459},{"id":"https://openalex.org/keywords/surgical-anatomy","display_name":"surgical anatomy","score":0.41999998688697815},{"id":"https://openalex.org/keywords/three-dimensional-coordinate-system","display_name":"three-dimensional coordinate system","score":0.5879999995231628},{"id":"https://openalex.org/keywords/cadaver-dissection","display_name":"cadaveric dissection","score":0.6940000057220459}],"concepts":[{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.5980256795883179},{"id":"https://openalex.org/C171878925","wikidata":"https://www.wikidata.org/wiki/Q35509","display_name":"Cave","level":2,"score":0.5567100048065186},{"id":"https://openalex.org/C127313418","wikidata":"https://www.wikidata.org/wiki/Q1069","display_name":"Geology","level":0,"score":0.42181161046028137},{"id":"https://openalex.org/C2778572836","wikidata":"https://www.wikidata.org/wiki/Q380933","display_name":"Space (punctuation)","level":2,"score":0.4131016135215759},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3587886691093445},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.24611127376556396},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.2180253267288208},{"id":"https://openalex.org/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.055513203144073486},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1055/s-0038-1633470","doi":"https://doi.org/10.1055/s-0038-1633470","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0038-1633470","pdf_url":null,"source":{"id":"https://openalex.org/S4210197100","display_name":"Journal of Neurological Surgery Part B Skull Base","issn_l":"2193-6331","issn":["2193-6331","2193-634X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","norway-1","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurological Surgery Part B: Skull Base","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1055/s-0038-1633470","doi":"https://doi.org/10.1055/s-0038-1633470","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0038-1633470","pdf_url":null,"source":{"id":"https://openalex.org/S4210197100","display_name":"Journal of Neurological Surgery Part B Skull Base","issn_l":"2193-6331","issn":["2193-6331","2193-634X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","norway-1","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurological Surgery Part B: Skull Base","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9391000270843506}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2790646338","https://openalex.org/W4220679276","https://openalex.org/W2041786301","https://openalex.org/W2329267492","https://openalex.org/W2328434677","https://openalex.org/W2026852894","https://openalex.org/W2594100516","https://openalex.org/W158573138","https://openalex.org/W2330460770","https://openalex.org/W2787388707"],"abstract_inverted_index":{"Background":[0],"The":[1,103,162,174,200,246,267,281,328,347,357],"anterolateral":[2,322],"corridor":[3,353],"via":[4],"expanded":[5],"endoscopic":[6],"endonasal":[7,400],"approach":[8,12,75,284,332,434],"(EEA)":[9],"represents":[10],"an":[11,95,399,429],"through":[13,37,243],"of":[14,25,27,31,45,74,76,182,202,208,223,239,256,276,313,324,330,342,367,395,408,431,435,441],"the":[15,21,28,32,38,46,51,57,72,77,140,144,149,166,171,180,196,206,209,213,218,224,231,236,240,244,249,277,286,297,307,310,314,318,321,325,343,361,365,368,375,380,390,405,432,436],"quadrangular":[16,58,78,104,348,369],"space":[17,59,105,164,349],"(QS)":[18],"to":[19,49,70,138,169,216,234,261,263,295,304,320,339,354],"reach":[20,50,170,217,235],"Meckel's":[22,141,225,241,420],"cave.":[23,173,226],"Management":[24],"lesions":[26,409],"ventral":[29],"surface":[30],"Gasserian":[33,150],"ganglia":[34],"is":[35,165,205,230,248,259,269,271,333,335,350,372,402],"performed":[36],"pterygopalatine":[39],"approach,":[40,401],"with":[41,110],"mobilization":[42,207],"or":[43,146],"sacrifice":[44],"vidian":[47,250,362],"nerve":[48,229,387],"QS.":[52,245],"Relevant":[53],"anatomical":[54,112,417],"structures":[55],"surrounding":[56],"have":[60,414],"not":[61],"been":[62],"studied":[63],"in":[64,129,253,306,404,410],"detail.":[65],"We":[66,97,132,413],"describe":[67],"three":[68,111,416],"routes":[69,418,427],"expand":[71,317],"area":[73,319],"space:":[79],"(1)":[80,114,161],"retrocarotid,":[81],"(2)":[82,117,227],"transpterygopalatine\u2014vidian":[83,118],"nerve,":[84,119,251],"and":[85,100,108,120,125,143,157,179,195,212,220,252,290,309,316,364,385,393,424],"(3)":[86,121,280],"transpterygopalatine\u2014mandibular":[87,122,282],"strut.":[88,123,299],"Methods":[89],"Five":[90],"cadaveric":[91],"injected":[92],"specimens":[93],"underwent":[94],"EEA.":[96],"used":[98,133],"0-":[99],"45-degree":[101],"scopes.":[102],"was":[106,148,155,177,215],"dissected":[107],"analyzed":[109,128,156],"routes:":[113],"retrocarotid":[115,163],"space,":[116,370,397],"Advantages":[124],"limitations":[126],"were":[127,185],"each":[130],"one.":[131],"a":[134,254,351,442],"three-vector":[135],"coordinate":[136],"system":[137],"analyze":[139],"cave":[142,242,421],"radius,":[145],"target,":[147],"ganglia.":[151],"Results":[152],"Each":[153],"route":[154,168,184,204,233,301],"described":[158],"as":[159,296],"follows:":[160],"medial":[167,219],"Meckel":[172],"middle":[175,192],"clivus":[176,193],"drilled":[178],"boundaries":[181,394],"this":[183,203,265,331,396,411],"Dorello":[186],"canal":[187,363],"superiorly,":[188],"foramen":[189],"lacerum":[190],"inferiorly,":[191,384],"medially":[194],"paraclival":[197,210],"carotid":[198],"laterally.":[199],"limitation":[201,247,329],"carotid,":[211],"advantage":[214,268],"anterior":[221,237,308],"part":[222,238,312],"Transpterygopalatine\u2014vidian":[228],"common":[232],"majority":[255],"cases,":[257],"it":[258,334],"necessary":[260],"cut":[262],"access":[264],"space.":[266],"that":[270],"allows":[272,302],"for":[273,438],"proper":[274],"control":[275],"petrous":[278,382],"carotid.":[279],"strut":[283,287],"exposed":[285],"between":[288],"V2":[289,378],"V3,":[291],"which":[292,371],"we":[293],"referred":[294],"mandibular":[298],"This":[300],"us":[303],"work":[305],"lateral":[311],"QS":[315,437],"triangle":[323],"cavernous":[326,344],"sinus.":[327,345],"more":[336],"risky":[337],"due":[338],"close":[340],"proximity":[341],"Conclusion":[346],"difficult":[352],"understand":[355],"surgically.":[356],"important":[358,403],"landmarks":[359,392],"are":[360],"limits":[366],"bounded":[373],"by":[374],"ICA":[376,383],"medially,":[377],"laterally,":[379],"horizontal":[381],"abducens":[386],"superiorly.":[388],"Understanding":[389],"anatomic":[391],"using":[398],"final":[406],"resection":[407,440],"area.":[412],"developed":[415],"toward":[419],"(medial,":[422],"anterior,":[423],"lateral).":[425],"These":[426],"create":[428],"expansion":[430],"classic":[433],"maximizing":[439],"lesion":[443],"without":[444],"increased":[445],"morbidity.":[446]},"counts_by_year":[],"updated_date":"2026-09-25T08:18:29.962427","created_date":"2018-08-03T00:00:00"}
