Morphometric Analysis Related to the Transcondylar Approach in Dry Skulls and Computed Tomography

DOI : http://dx.doi.org/10.4067/S0717-95022012000200006
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Pereira, G. A. M.; Lopes, P. T. C.; Santos, A. M. P. V.; Duarte, R. D.; Piva, L. & Pozzobon, A.

Summary

The transcondylar approach (TA) has been used in surgeries to access lesions in areas close to the foramen magnum (FM) and is performed directly through the occipital condyle (OC) or through the atlanto-occipital joint and adjacent portions of the same. The objective of this study is to examine anatomical variations related to the TA by morphometric parameters of the FM, OC and of the hypoglossal canal (HC) in dry skulls and in computed tomography (CT). In 111 skulls, characteristics of the HC, and measures related to the FM, the HC and to the OC were examined. In CT, the measurements obtained bilaterally in 10 patients who underwent examination of the skull base in 1 mm-thick axial helical cuts were the distances from the outer half of the clivus to the opening of the HC; from the lower portion of the OC to the middle of HC; from the inner half of the clivus to the intracranial opening of the HC and to the midpoint of the HC; from the HC extracranial opening to the lower portion of the OC and to the outer half of the clivus. The results of CT measurements are consistent to previous studies of morphometric variations related to the TA, with no significant difference between the measurements obtained in the right and in the left sides, or related to gender. The data obtained by three-dimensional CT images are important in assessing the morphometric variations of pre-surgical patientsof TA.

KEY WORDS: Transcondylar Approach; Computed Tomography; Hypoglossal Canal; Foramen Magnum; Occipital Condyle; Dry Skulls.

How to cite this article

PEREIRA, G. A. M.; LOPES, P. T. C.; SANTOS, A. M. P. V.; DUARTE, R. D.; PIVA, L.; POZZOBON, A. Morphometric analysis related to the transcondylar approach in dry skulls and computed tomography. Int. J. Morphol., 30(2):399-404, 2012.