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Abstract

The cavernous sinus (eS), due to its location and the anatomical structures contained therein, has always represented a formidable surgical challenge. Until 1965 when Parkinson [16] showed the possibility of operating on the es, this region was known as a “no man’s land”. From that time on the pioneering work of some authors [5, 17, 20] perfected and popularised the transcranial approaches to the es. Early enthusiasm was tempered in time by the poor results and complications that were encountered in some patients and by advances in other types of therapy, such as radiosurgery. The management of neoplasms involving the es is multidisciplinary and surgery remains the cornerstone before any subsequent procedure. In fact, it permits histopathological diagnosis, tumor debulking and, in some cases, eure of the patient.

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References

  1. Alfieri A, Jho HD (2001) Endoscopic endonasal approaches to the cavernous sinus: surgical approaches. Neurosurgery 49: 354–360

    PubMed  CAS  Google Scholar 

  2. Arita K, Kurisu K, Tominaga A, Ohba S, Ikawa F, Iida K, Yoshioka H (2000) Transsphenoidal “cross court” approach using a slightly modified speculum toreach pituitary adenomas with lateral growth. Acta Neurochir (Wien) 142: 1055–1058

    Article  CAS  Google Scholar 

  3. Cappabianca P, Alfieri A, Thermes S, Buonamassa S, de Divitiis E (1999) Instruments for endoscopic endonasal transsphenoidal surgery. Neurosurgery 45: 392–395

    Article  PubMed  CAS  Google Scholar 

  4. de Divitiis E, Cappabianca P, Cavallo LM (2002) Endoscopic transsphenoidal approach: Adptability of the procedure to different sellar lesions. Neurosurgery 51: 699–707

    PubMed  Google Scholar 

  5. Dolenc W (1989) Anatomy and surgery of the cavernous sinus. Springer, New York, 344 pp

    Book  Google Scholar 

  6. Fahlbusch R, Buchfelder M (1988) Transsphenoidal surgery of parasellar pituitary adenomas. Acta Neurochir (Wien) 92: 93–99

    Article  CAS  Google Scholar 

  7. Fraioli B, Esposito V, Santoro A, Iannetti G, Giuffre R, Cantore GP (1995) Transmaxillosphenoid al approach to tumours invading the medial compartment of the cavernous sinus. J Neurosurg 82: 63–69

    Article  PubMed  CAS  Google Scholar 

  8. Frank G, Pasquini E, Calbucci F (2001) Endoscopic approach to the cavernous sinus via an Ethmoido-Pterygo-Sphenoidal route. Presented at the 5th European Skull Base Society Congress, Copenhagen, Denmark, June 15-17, 2001 (additional abstract, p0009b)

    Google Scholar 

  9. Hashimoto N, Kikuchi H (1990) Transsphenoidal approach to infrasellar tumours involving the cavernous sinus. J Neurosurg 73: 513–517

    Article  PubMed  CAS  Google Scholar 

  10. Inoue T, Rhoton AL Jr, Theele D, Barry ME (1990) Surgical approaches to the cavernous sinus: a microsurgical study. Neurosurgery 26: 903–932

    Article  PubMed  CAS  Google Scholar 

  11. Jho HD, Carrau RL (1997) Endoscopic endonasal transsphenoidal surgery: Experience with 50 patients. J Neurosurg 87: 44–51

    Article  PubMed  CAS  Google Scholar 

  12. Kitano M, Taneda M (2001) Extended transsphenoidal approach with submucosal posterior ethmoidectomy for parasellar tumours. Technical note. J Neurosurg 94: 999–1004

    CAS  Google Scholar 

  13. Knosp E, Steiner E, Kitz K, Matula C (1993) Pituitary adenomas with invasion of the cavernous sinus space: a magnetic resonance imaging classification compared with surgical findings. Neurosurgery 33: 610–617

    Article  PubMed  CAS  Google Scholar 

  14. Lalwani AK, Kaplan MJ, Gutin PH (1992) The transsphenoethmoid approach to the sphenoid sinus and clivus. Neurosurgery 31: 1008–1014

    Article  PubMed  CAS  Google Scholar 

  15. Laws ER Jr, Onofrio BM, Pearson BW, McDonald TJ, Dirrenberger RA (1979) Successful management of bilateral carotid-cavernous fistulae with a trans-sphenoidal approach. Neurosurgery 4: 162–167

    Article  PubMed  Google Scholar 

  16. Parkinson D (1965) A surgical approach to the cavernous portion of the carotid artery: anatomical studies and case report. J Neurosurg 23: 474–483

    Article  PubMed  CAS  Google Scholar 

  17. Perneczky A, Knosp E, Matula C (1988) Cavernous sinus surgery. Approach through the lateral wall. Acta Neurochir (Wien) 92: 76–82

    Article  CAS  Google Scholar 

  18. Rabadan A, Conesa H (1992) Transmaxillary-transnasal approach to the anterior clivus: a microsurgical anatomical model. Neurosurgery 30: 473–481

    Article  PubMed  CAS  Google Scholar 

  19. Sabit I, Schaefer SD, Couldwell WT (2000) Extradural extranasal combined transmaxillary transsphenoidal approach to the cavernous sinus: a minimally invasive microsurgical model. Laryngoscope 110: 286–291

    Article  PubMed  CAS  Google Scholar 

  20. Sekhar LN, Ross DA, Sen C (1993) Cavernous sinus and sphenocavernous neoplasms. Anatomy and surgery. In: Sekhar LN, Janecka IP (eds) Surgery of cranial base tumours. Raven Press, New York, pp 521–604

    Google Scholar 

  21. Shin M, Kurita H, Sasaki T, Tago M, Morita A, Ueki K, Kirino T (2000) Stereotactic radiosurgery for pituitary adenoma invading the cavernous sinus. J Neurosurg 93[Suppl 3]: 2–5

    PubMed  Google Scholar 

  22. Stammberger H (1986) Endoscopic endonasal surgery: concepts in treatment of recurring rhinosinusitis. Part II: Surgical technique. Otolaryngol Head Neck Surg 94:147–156

    PubMed  CAS  Google Scholar 

  23. Yokoyama S, Hirano H, Moroki K, Goto M, Imamura S, Kuratsu JI (2001) Are nonfunctioning pituitary adenomas extending into the cavernous sinus aggressive and/or invasive? Neurosurgery 49: 857–862

    PubMed  CAS  Google Scholar 

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© 2003 Springer-Verlag Wien

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Frank, G., Pasquini, E. (2003). Approach to the cavernous sinus. In: de Divitiis, E., Cappabianca, P. (eds) Endoscopic Endonasal Transsphenoidal Surgery. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6084-8_10

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  • DOI: https://doi.org/10.1007/978-3-7091-6084-8_10

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-7225-4

  • Online ISBN: 978-3-7091-6084-8

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