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Endoscopic Transnasal Transsphenoidal Approaches to the Cavernous Sinus: An Anatomical Dissection Study and Report on Patients
Author(s) -
Schaberg Madeleine R.,
Roth Jonathan,
Anand Vijay K.,
Schwartz Theodore H.
Publication year - 2010
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.21330
Subject(s) - medicine , otorhinolaryngology , general surgery , head and neck surgery , surgery
• Transnasal transsphenoidal approach allows an increased field of view and more than adequate visualization of the parasellar cavernous sinus • Endoscopic surgical removal is technically feasible and our results in a limited number of patients are encouraging • The ideal lesions are soft tumors, like pituitary adenomas, which do not infiltrate the internal carotid artery • Image guidance and the ultrasound doppler are invaluable tools in mapping the carotid and avoiding injury References 1. Knosp E, Steiner E, Kitz K, Matula C: Pituitary adenomas with invasion of the cavernous sinus space: a magnetic resonance imaging classification compared with surgical findings. Abstract: Introduction: The neurovascular anatomy of the cavernous sinus severely limits surgical approaches for resection of tumors. Recent advances in endoscopic skull base surgery have defined surgical corridors to this challenging area. We present a series of cadaveric dissection using the endoscopic approach to the cavernous sinus and review the successful application of the endoscopic technique to eight patients.