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Titolo:
Endoscopic endonasal cavernous sinus surgery: An anatomic study
Autore:
Alfieri, A; Jho, HD;
Indirizzi:
Univ Pittsburgh, Sch Med, Dept Neurol Surg, Ctr Minimally Invas Innovat Microneurosurg, Pittsburgh, PA 15260 USA Univ Pittsburgh Pittsburgh PA USA 15260 urosurg, Pittsburgh, PA 15260 USA Univ Naples Federico II, Dept Neurosurg, Sch Med, Naples, Italy Univ Naples Federico II Naples Italy Neurosurg, Sch Med, Naples, Italy
Titolo Testata:
NEUROSURGERY
fascicolo: 4, volume: 48, anno: 2001,
pagine: 827 - 836
SICI:
0148-396X(200104)48:4<827:EECSSA>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTERNAL CAROTID-ARTERY; TRANSSPHENOIDAL APPROACH; MICROSURGICAL ANATOMY; PITUITARY SURGERY; MANAGEMENT; EXPERIENCE;
Keywords:
cavernous sinus; endoscopic transsphenoidal surgery; internal carotid artery; pituitary adenoma; vidian nerve;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Jho, HD Carnegie Mellon Univ, Dept Neurol Surg, Med Ctr, Suite B-400,200 Lothrop St, Pittsburgh, PA 15213 USA Carnegie Mellon Univ Suite B-400,200 Lothrop St Pittsburgh PA USA 15213
Citazione:
A. Alfieri e H.D. Jho, "Endoscopic endonasal cavernous sinus surgery: An anatomic study", NEUROSURGER, 48(4), 2001, pp. 827-836

Abstract

OBJECTIVE: The endoscopic surgical anatomy of the cavernous sinus was studied to establish an anatomic basis for endoscopic endonasal cavernous sinussurgery. METHODS: Five adult cadaveric heads were studied with 0-, 30-, and 70-degree 4-mm rod-lens endoscopes. The posterior wall of the sphenoidal sinus wasapproached via a paraseptal, middle turbinectomy, or middle meatal approach. RESULTS: The posterior bony wall of the sphenoidal sinus is subdivided into five vertical compartments: midline, bilateral paramedian, and bilateral lateral. The midline vertical compartment consists of the planum sphenoidale, tuberculum sellae, sella, and clival indentation. The paramedian vertical compartment is composed of the medial third of the optic canal and the carotid artery protuberance, The lateral vertical compartment contains four bony protuberances (optic, cavernous sinus apex, maxillary, and mandibular) and three depressions (carotico-optic, ophthalmomaxillary [V1-V2], and maxillomandibular [V2-V3]). The three depressions form anatomic triangles at the lateral vertical compartment: the optic strut triangle, which is borderedby the optic nerve, carotid artery, and oculomotor nerve (IIIrd cranial nerve); the V1-V2 triangle; and the V2-V3 triangle, The internal carotid artery at the posterior wall of the sphenoidal sinus can be subdivided into twomain segments: the parasellar and the paraclival. The vidian canal is a landmark that leads to the foramen lacerum, the mandibular nerve, and the pterygopalatine fossa. CONCLUSION: Endoscopic anatomy of the cavernous sinus has been studied viaan endonasal route in cadaveric specimens to provide an anatomic basis forendoscopic endonasal cavernous sinus surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/09/20 alle ore 07:35:24