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. 2023 Jan 24;18:100158. doi: 10.1016/j.wnsx.2023.100158

Table 3.

Surgical approaches and landmarks for the upper carotid sheath (CS).

Approaches Main Landmarks Other landmarks
Oral approach
Open Styloid process and associated structures.
Superior pharyngeal constrictor
Endoscopic or Robotic
Medial pterygoid; superior pharyngeal constrictor
Cervical approach
Prevertebral lateral cervical Posterior belly of digastric muscle
Hyoid greater horn, hyoglossus, longus capitis, longus colli, superior pharyngeal constrictor, anterior tubercle of atlas
Cervical - parotid Facial nerve
Cervical - mandible
Styloglossus, stylopharyngeus
Cervico-cranial approach Postero-lateral Lateral rectus capitis Digastric crest, posterior rectus major, superior oblique, inferior oblique, occipital condyle, jugular process
Sub-temporal Transverse process of atlas Longissimus capitis, posterior abdomen of digastric muscle, root of styloid process and jugular process
Retro-auricular Transverse process of atlas Digastric crest, facial canal, occipital condyle, jugular nodule, rectus capitis, jugular vein process