ORIGINAL ARTICLE

Endoscopic transorbital ligation of the maxillary artery through the inferior orbital fissure

Mohammad S. Mahmoud MD, PhD

Department of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine, El-Demerdash Hospital, Ain Shams University, Cairo, Egypt

Department of Otolaryngology – Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA

Search for more papers by this author

Ahmed G. Diab MD,

Ahmed G. Diab MD

Department of Otolaryngology – Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA

Department of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt

Search for more papers by this author

Stephany Ngombu BA,

Stephany Ngombu BA

orcid.org/0000-0003-3939-4783

Department of Otolaryngology – Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA

Search for more papers by this author

Daniel M. Prevedello MD,

Daniel M. Prevedello MD

Department of Otolaryngology – Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA

Department of Neurological Surgery, The Ohio State University, Columbus, Ohio, USA

Search for more papers by this author

Ricardo L. Carrau MD, MBA,

Corresponding Author

Ricardo L. Carrau MD, MBA

[email protected]

Department of Otolaryngology – Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA

Department of Neurological Surgery, The Ohio State University, Columbus, Ohio, USA

Correspondence

Ricardo L. Carrau, Department of Otolaryngology – Head and Neck Surgery, The James Cancer Center and Solove Research Institute, The Ohio State University, Wexner Medical Center, Columbus, OH 43210, USA.

Email: [email protected]

Search for more papers by this author

Mohammad S. Mahmoud MD, PhD,

Mohammad S. Mahmoud MD, PhD

Department of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine, El-Demerdash Hospital, Ain Shams University, Cairo, Egypt

Department of Otolaryngology – Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA

Search for more papers by this author

Ahmed G. Diab MD,

Ahmed G. Diab MD

Department of Otolaryngology – Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA

Department of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt

Search for more papers by this author

Stephany Ngombu BA,

Stephany Ngombu BA

orcid.org/0000-0003-3939-4783

Department of Otolaryngology – Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA

Search for more papers by this author

Daniel M. Prevedello MD,

Daniel M. Prevedello MD

Department of Otolaryngology – Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA

Department of Neurological Surgery, The Ohio State University, Columbus, Ohio, USA

Search for more papers by this author

Ricardo L. Carrau MD, MBA,

Corresponding Author

Ricardo L. Carrau MD, MBA

[email protected]

Department of Otolaryngology – Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA

Department of Neurological Surgery, The Ohio State University, Columbus, Ohio, USA

Correspondence

Email: [email protected]

Search for more papers by this author

First published: 10 March 2021

https://doi.org/10.1002/hed.26655

Citations: 4

Share a link

Email
Wechat
Bluesky

Abstract

Objective

Determine the feasibility of accessing the internal maxillary artery (IMA) through a transorbital endoscopic assisted approach through the inferior orbital fissure (IOF).

Materials and Methods

Six adult cadaveric specimens were injected intravascularly with colored latex and dissected on 12 sides. A transorbital endoscopic approach was used to expose the IOF and reach the IMA.

Results

The average length and width of the anterolateral segment of the IOF were 7.3 and 4 mm, respectively, on the right side and 6.7 and 3.8 mm, respectively, on the left side. Surgical exposure and modification of the IOF allowed the exposure and control of the IMA in all 12 sides.

Conclusions

The IOF is a feasible portal to the IMA. The benefits of this approach include vascular control of the distal segment of the maxillary artery. It may provide access in clinical scenarios where endonasal access is not possible (e.g., extensive tumors) or serve as an alternative or complementary surgical route (e.g., control during a total or radical maxillectomy).

CONFLICT OF INTEREST

All other authors declare no conflict of interest.

Open Research

DATA AVAILABILITY STATEMENT

The data that supports the findings of this study are available in the supplementary material of this article

REFERENCES

1De Battista JC, Zimmer LA, Theodosopoulos PV, Froelich SC, Keller JT. Anatomy of the inferior orbital fissure: implications for endoscopic cranial base surgery. J Neurol Surg. 2013; 73(2): 132-138. https://doi.org/10.1055/s-0032-1301398.
Google Scholar
2Lin BJ, Ju DT, Hsu TH, et al. Endoscopic transorbital approach to anterolateral skull base through inferior orbital fissure: a cadaveric study. Acta Neurochir (Wien). 2019; 161(9): 1919-1929. https://doi.org/10.1007/s00701-019-03993-3.
10.1007/s00701-019-03993-3
PubMed Web of Science® Google Scholar
3Gede LL, Aanaes K, Collatz H, Larsen PL, Von Buchwald C. National long-lasting effect of endonasal endoscopic sphenopalatine artery clipping for epistaxis. Acta Otolaryngol. 2013; 133(7): 744-748. https://doi.org/10.3109/00016489.2013.773596.
10.3109/00016489.2013.773596
PubMed Web of Science® Google Scholar
4Wormald PJ, Wee DTH, Van Hasselt CA. Endoscopic ligation of the sphenopalatine artery for refractory posterior epistaxis. Am J Rhinol. 2000; 14(4): 261-264. https://doi.org/10.2500/105065800779954455.
10.2500/105065800779954455
CAS PubMed Google Scholar
5Maceri DR, Makielski KH. Intraoral ligation of the maxillary artery for posterior epistaxis. Laryngoscope. 1984; 94(6):737741. https://doi.org/10.1288/00005537-198406000-00002.
10.1288/00005537-198406000-00002
Web of Science® Google Scholar
6Stepnick DW, Maniglia AJ, Bold EL, Maniglia JV. Intraoral-extramaxillary sinus approach for ligation of the maxillary artery. Laryngoscope. 1990; 100(11):11661170. https://doi.org/10.1288/00005537-199011000-00006.
10.1288/00005537-199011000-00006
Web of Science® Google Scholar
7Polev GA, Carrau RL, Golbin DA, et al. Intraoral endoscopic ligation of maxillary artery in the infratemporal fossa. J Craniofac Surg. 2019; 30(1): 137-140. https://doi.org/10.1097/SCS.0000000000004981.
10.1097/SCS.0000000000004981
PubMed Web of Science® Google Scholar
8Locatelli D, Pozzi F, Turri-Zanoni M, et al. Transorbital endoscopic approaches to the skull base: current concepts and future perspectives. J Neurosurg Sci. 2016; 60(4): 514-528.
PubMed Web of Science® Google Scholar
9Ramakrishna R, Kim LJ, Bly RA, Moe K, Ferreira M. Transorbital neuroendoscopic surgery for the treatment of skull base lesions. J Clin Neurosci. 2016; 24: 99-104. https://doi.org/10.1016/j.jocn.2015.07.021.
10.1016/j.jocn.2015.07.021
PubMed Web of Science® Google Scholar
10Chen HI, Bohman LE, Loevner LA, Lucas TH. Transorbital endoscopic amygdalohippocampectomy: a feasibility investigation. Laboratory investigation. J Neurosurg. 2014; 120(6): 1428-1436. https://doi.org/10.3171/2014.2.JNS131060.
10.3171/2014.2.JNS131060
PubMed Web of Science® Google Scholar
11Dallan I, Di Somma A, Prats-Galino A, et al. Endoscopic transorbital route to the cavernous sinus through the meningo-orbital band: a descriptive anatomical study. J Neurosurg. 2017; 127(3): 622-629. https://doi.org/10.3171/2016.8.JNS16465.
10.3171/2016.8.JNS16465
PubMed Web of Science® Google Scholar
12Di Somma A, Andaluz N, Cavallo LM, et al. Endoscopic transorbital route to the petrous apex: a feasibility anatomic study. Acta Neurochir (Wien). 2018; 160(4): 707-720. https://doi.org/10.1007/s00701-017-3448-x.
10.1007/s00701-017-3448-x
PubMed Web of Science® Google Scholar
13Ferrari M, Schreiber A, Mattavelli D, et al. The inferolateral transorbital endoscopic approach: a preclinical anatomic study. World Neurosurg. 2016; 90: 403-413. https://doi.org/10.1016/j.wneu.2016.03.017.
10.1016/j.wneu.2016.03.017
PubMed Web of Science® Google Scholar
14Gerges MM, Godil SS, Younus I, Rezk M, Schwartz TH. Endoscopic transorbital approach to the infratemporal fossa and parapharyngeal space: a cadaveric study. J Neurosurg. 2019; 1: 1-12. https://doi.org/10.3171/2019.7.jns191743.
Google Scholar
15Khan AM, Varvares MA. Traditional approaches to the orbit. Otolaryngol Clin North Am. 2006; 39(5): 895-909. https://doi.org/10.1016/j.otc.2006.08.008.
10.1016/j.otc.2006.08.008
PubMed Web of Science® Google Scholar
16De Battista JC, Zimmer LA, Rodríguez-Vázquez JF, et al. Muller's muscle, no longer vestigial in endoscopic surgery. World Neurosurg. 2011; 76(3–4): 342-346. https://doi.org/10.1016/j.wneu.2010.12.057.
10.1016/j.wneu.2010.12.057
PubMed Web of Science® Google Scholar
17Pearson BW, Mac Kenzie RG, Goodman WS. The anatomical basis of transantral ligation of the maxillary artery in severe epistaxis. Laryngoscope. 1969; 79(5): 969-984. https://doi.org/10.1288/00005537-196905000-00014.
10.1288/00005537-196905000-00014
CAS PubMed Web of Science® Google Scholar
18Aziz KMA, Froelich SC, Cohen PL, Sanan A, Keller JT, Van Loveren HR. The one-piece orbitozygomatic approach: the MacCarty burr hole and the inferior orbital fissure as keys to technique and application. Acta Neurochir (Wien). 2002; 144(1): 15-24. https://doi.org/10.1007/s701-002-8270-1.
10.1007/s701-002-8270-1
PubMed Web of Science® Google Scholar
19Shimizu S, Tanriover N, Rhoton AL, Yoshioka N, Fujii K. MacCarty keyhole and inferior orbital fissure in orbitozygomatic craniotomy. Neurosurgery. 2005; 57(Suppl. 1 ): 152-159; discussion 152–9. https://doi.org/10.1227/01.neu.0000163600.31460.d8.
10.1227/01.NEU.0000163600.31460.D8
PubMed Web of Science® Google Scholar
20Elhadi AM, Zaidi HA, Yagmurlu K, et al. Infraorbital nerve: a surgically relevant landmark for the pterygopalatine fossa, cavernous sinus, and anterolateral skull base in endoscopic transmaxillary approaches. J Neurosurg. 2016; 125(6): 1460-1468. https://doi.org/10.3171/2015.9.JNS151099.
10.3171/2015.9.JNS151099
PubMed Web of Science® Google Scholar
21Chandler JR, SERRINS AJ. Transantral ligation of the internal maxillary artery for epistaxis. Laryngoscope. 1965; 75(7):11511159. https://doi.org/10.1288/00005537-196507000-00011.
10.1288/00005537-196507000-00011
Web of Science® Google Scholar
22Pretterklieber ML, Skopakoff C, Mayr R. The human maxillary artery reinvestigated: I. Topographical relations in the infratemporal fossa. Acta Anat (Basel). 1991; 142(4): 281-287. https://doi.org/10.1159/000147203.
10.1159/000147203
CAS PubMed Google Scholar
23Martins C, Li X, Rhoton AL. Role of the zygomaticofacial foramen in the orbitozygomatic craniotomy: anatomic report. Neurosurgery. 2003; 53(1): 168-172; discussion 172–3. https://doi.org/10.1227/01.neu.0000068841.17293.bb.
10.1227/01.NEU.0000068841.17293.BB
PubMed Web of Science® Google Scholar
24Ruskell GL. Distribution of pterygopalatine ganglion efferents to the lacrimal gland in man. Exp Eye Res. 2004; 78(3): 329-335. https://doi.org/10.1016/j.exer.2003.06.001.
10.1016/j.exer.2003.06.001
CAS PubMed Web of Science® Google Scholar
25Rusu MC. Microanatomy of the neural scaffold of the pterygopalatine fossa in humans: trigeminovascular projections and trigeminal-autonomic plexuses. Folia Morphol (Warsz). 2010; 69(2): 84-91.
CAS PubMed Web of Science® Google Scholar
26Lv MM, Fan XD, Su LX, Chen D. Preoperative direct puncture embolization of advanced juvenile nasopharyngeal angiofibroma in combination with transarterial embolization: an analysis of 22 consecutive patients. Cardiovasc Intervent Radiol. 2013; 36(1): 111-117. https://doi.org/10.1007/s00270-012-0404-2.
10.1007/s00270-012-0404-2
PubMed Web of Science® Google Scholar
27Apinhasmit W, Methathrathip D, Ploytubtim S, Chompoopong S, Ariyawatkul T, Lertsirithong A. Anatomical study of the maxillary artery at the pterygomaxillary fissure in a Thai population: its relationship to maxillary osteotomy. J Med Assoc Thai. 2004; 87(10): 1212-1217.
PubMed Google Scholar
28Turvey TA, Fonseca RJ. The anatomy of the internal maxillary artery in the pterygopalatine fossa: its relationship to maxillary surgery. J Oral Surg. 1980; 38(2): 92-95.
CAS PubMed Google Scholar

Citing Literature

Volume43, Issue6

June 2021

Pages 1830-1837

Endoscopic transorbital ligation of the maxillary artery through the inferior orbital fissure

Abstract

Objective

Materials and Methods

Results

Conclusions

CONFLICT OF INTEREST

Open Research

DATA AVAILABILITY STATEMENT

REFERENCES

Citing Literature

References

Information

About Wiley Online Library

Help & Support

Opportunities

Connect with Wiley

Endoscopic transorbital ligation of the maxillary artery through the inferior orbital fissure

Abstract

Objective

Materials and Methods

Results

Conclusions

CONFLICT OF INTEREST

Open Research

DATA AVAILABILITY STATEMENT

REFERENCES

Citing Literature

References

Related

Information