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
› Further Information
Also available at
 
 

    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.


    #

    No conflict of interest has been declared by the author(s).

    Publication History

    Article published online:
    07 February 2025

    © 2025. Thieme. All rights reserved.

    Georg Thieme Verlag KG
    Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany