Abstract

Background: Over the last two decades, the traditional boundaries of endoscopic transnasal surgery have been expanded to access lesions of the anterior skull base. Recent advancements in endoscopic transnasal approaches to the skull base raise the possibility of extending these approaches further. In this cadaveric study, we evaluate the feasibility and extent of exposure of the “maxillary strut” through an endoscopic transnasal approach. The “maxillary strut” is a term that is found sporadically in the neurosurgery and otolaryngology literature to describe the fragment of bone located between the superior orbital fissure and the foramen rotundum. The removal of the maxillary strut theoretically allows access to the middle cranial fossa.

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