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Transsphenoidal surgery is a type of surgery in which an endoscope or surgical instruments are inserted into part of the brain by going through the nose and the sphenoid bone (a butterfly-shaped bone forming the anterior inferior portion of the brain case) into the sphenoidal sinus cavity.
The sphenoid bone [note 1] is an unpaired bone of the neurocranium. It is situated in the middle of the skull towards the front, in front of the basilar part of the occipital bone. The sphenoid bone is one of the seven bones that articulate to form the orbit. Its shape somewhat resembles that of a butterfly, bat or wasp with its wings extended.
Inner surface of the base of skull, showing cranial foramina. The foramen is situated just anterior to the sphenopetrosal suture. [1]: 509 It is located posterolateral to the foramen ovale, and anterior to the sphenoidal spine.
posterior: root of the pterygoid process and adjoining anterior surface of the greater wing of sphenoid bone; medial: perpendicular plate of the palatine bone and its orbital and sphenoidal processes; lateral: pterygomaxillary fissure; inferior: part of the floor is formed by the pyramidal process of the palatine bone.
The foramen ovale is an opening in the greater wing of the sphenoid bone. [1] The foramen ovale is one of two cranial foramina in the greater wing, the other being the foramen spinosum. [2]: 771 The foramen ovale is posterolateral to the foramen rotundum and anteromedial to the foramen spinosum.
The tuberculum sellae (or the tubercle of the sella turcica) is a slight [1] median elevation upon the superior aspect of the body of sphenoid bone (that forms the floor of the middle cranial fossa [2]: 508-509 ) at the anterior boundary of the sella turcica (hypophyseal (pituitary) fossa) [2]: 509 and posterior boundary of the chiasmatic groove.
Spontaneous CSF rhinorrhoea is the most common acquired defect in the skull base bones (anterior cranial fossa) causing spontaneous nasal liquorrhea. Defects are often localized in the sphenoid bone and the ethmoid bone. [1] Congenital CSF rhinorrhoea is the least common type of CSF rhinorrhoea. [1]
the cranial suture between the sphenoid bone and the ethmoid bone: sella–nasion line: SN or S–N: Line from sella to nasion: sella–nasion–A point angle: SNA or S-N-A: Average of 82 degrees with +/- of 2 degrees sella–nasion–B point angle: SNB or S-N-B: Average of 80 degrees with +/- of 2 degrees sublabialis: Sl: subnasale (synonyms ...