Suprasellar and parasellar triangles: a step-by-step dissection
摘要
Anatomical triangles formed by intersecting neurovascular structures serve as crucial landmarks, delineating surgical pathways and guiding neurosurgeons during dissections. These triangular systems have been integrated into skull base surgery, offering a framework to navigate intricate regions such as the cavernous sinus. This study aims to organize and clarify the anatomy of the suprasellar and parasellar triangles through a detailed, step-by-step dissection, providing a comprehensive roadmap for surgeons. Main body of the abstract A step-by-step dissection of the suprasellar and parasellar regions was performed on a fresh-frozen cadaver to elucidate the anatomy of the middle fossa triangles. The suprasellar and parasellar regions were exposed through a subfrontal approach, allowing for an expanded superior view and the identification of anatomical triangles.
ConclusionThe skull base is one of the most complex anatomical regions, but a systematic study grounded in direct approaches can significantly simplify its surgical exploration. Mastering and applying these triangular landmarks, combined with a safe approach, can mitigate surgical challenges and bolster a surgeon's confidence in navigating this intricate area.