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J Neurol Surg B Skull Base 2019; 80(01): 067-071
DOI: 10.1055/s-0038-1667023
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Skull Base 3D Modeling of Rigid Buttress for Gasket-Seal Closure Using Operative Endoscopic Imaging: Cadaveric Feasibility

James Shin
1   Department of Radiology, Weill Cornell Medicine, Cornell University, New York, New York, United States
,
Jonathan Forbes
2   Department of Neurosurgery, NewYork–Presbyterian/Weill Cornell Medicine, New York, New York, United States
,
Kurt Lehner
3   Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hofstra University, Hempstead, New York, United States
,
Hilarie Tomasiewicz
2   Department of Neurosurgery, NewYork–Presbyterian/Weill Cornell Medicine, New York, New York, United States
,
Theodore H. Schwartz
2   Department of Neurosurgery, NewYork–Presbyterian/Weill Cornell Medicine, New York, New York, United States
,
C. Douglas Phillips
1   Department of Radiology, Weill Cornell Medicine, Cornell University, New York, New York, United States
› Author Affiliations
Further Information

Publication History

10 February 2018

02 June 2018

Publication Date:
20 July 2018 (online)

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Abstract

Surgical defect closure following endonasal transsphenoidal tumor resection is a critical component of procedural success. Three-dimensional (3D) modeling of relevant skull base anatomy during resection can potentially facilitate design of a custom rigid buttress for gasket-seal closure; however, access to conventional cross-sectional imaging intraoperatively is limited and cumbersome. Endoscopic imaging, by contrast, is always available. This work demonstrates the feasibility of 3D modeling of the visible skull base through structure-from-motion photogrammetric postprocessing techniques, providing a suitable template to design a gasket-seal buttress. Additionally, endoscopic 3D reconstruction of skull base surface anatomy may represent a more robust depiction of the surgical defect than is available by conventional 3D modeling with computed tomography, which suboptimally recapitulates very thin bones and mucosal surfaces typical of this regional anatomy.

Keywords

photogrammetry - gasket-seal - buttress - sellar reconstruction - transsphenoidal
 

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