Document Detail

Anatomical study of the cavernous sinus emphasizing operative approaches.
MedLine Citation:
PMID:  20401847     Owner:  NLM     Status:  MEDLINE    
AIM: The aim of this article is to describe the microsurgical anatomy of the cavernous sinus, the triangles, and the osseous relationships in the region with special attention to the relationships important in surgical approaches on the intracavernous structures.
MATERIAL AND METHODS: Fifty cavernous sinuses obtained from twenty-five cadaver heads were studied in detail using magnification. Stepwise dissections of the cavernous sinuses performed to demonstrate the intradural and extradural routes, anatomy of the triangles and osseous relationships in the region.
RESULTS: The main branches of the intracavernous portion of the carotid artery were the meningohypophyseal, the inferior cavernous sinus, and McConnell;s capsular artery . The main branches of the meningohypophyseal trunk were the tentorial, the dorsal meningeal, and the inferior hypophyseal artery. There were variations of the main branches of the meningohypophyseal trunk. The sixth cranial may splite into rootlets as it passes lateral to the carotid artery. There were size and shape variation of the triangles.
CONCLUSION: Aprecise understanding of the bony relationships, the anatomy of the triangels and neurovascular content of the cavernous sinus, together with the use of cranial base and microsurgical techniques are necessary for safer surgery. Asingle approach is not capable of providing exposure of all parts of the sinus.
Adem Dalgiç; Suat Boyaci; Kaya Aksoy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Turkish neurosurgery     Volume:  20     ISSN:  1019-5149     ISO Abbreviation:  Turk Neurosurg     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-19     Completed Date:  2010-09-30     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9423821     Medline TA:  Turk Neurosurg     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  186-204     Citation Subset:  IM    
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MeSH Terms
Carotid Arteries / anatomy & histology*,  surgery
Cavernous Sinus / anatomy & histology*,  surgery*
Cranial Nerves / anatomy & histology*,  surgery
Dura Mater / anatomy & histology,  surgery
Meningeal Arteries / anatomy & histology,  surgery
Neurosurgical Procedures*
Skull Base / anatomy & histology,  surgery
Sphenoid Bone / anatomy & histology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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