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12) In 1996, Winstead described a transnasal microscopic approach to the sphenopalatine vessels at the sphenopalatine foramen.
The needle tip is used to palpate the sphenopalatine foramen and is then advanced into the foramen or the area near the foramen.
2) Taking care not to traumatize the neurovascular bundle, we placed a 2-mm Kerrison rongeur into the sphenopalatine foramen and removed the thick palatine bone that made up the anterior aspect of the foramen and the posteromedial aspect of the maxillary sinus.