Transmaxillary approach to the anterior cavernous sinus: a microanatomic study

Neurosurgery
William T CouldwellD Rice

Abstract

Several approaches to expose the anterior cavernous sinus have been used, such as frontotemporal, orbitofrontal, anterior subtemporal, and various transfacial approaches. In an effort to gain exposure to the anterior cavernous sinus without necessitating a craniotomy or wide transfacial exposure, the authors in the present study have developed a transmaxillary approach to the cavernous sinus. The approach was developed using data obtained by performing 24 cadaveric dissections. Using a sublabial incision to expose the maxilla, maxillotomy is performed and the course of the infraorbital nerve is identified as a guide to the maxillary branch of the trigeminal nerve. After an osteotomy of the posterior sinus wall and pterygoid plate, the foramen rotundum is identified, which lies a mean of 10 mm from the posterior wall of the maxilla. A superomedial enlargement of the foramen rotundum is then undertaken to ultimately expose the anterior cavernous sinus. This technique offers access to all cavernous cranial nerves, as well as the entire course of the anterior loop of the internal carotid artery to the origin of the ophthalmic artery. With a mean operative range of 38 mm from the posterior wall of the maxilla to the anterior loop of...Continue Reading

References

Oct 1, 1979·American Journal of Surgery·J Conley, J C Price
Mar 1, 1989·Archives of Otolaryngology--head & Neck Surgery·R L Crumley, P H Gutin
Jun 1, 1986·Journal of Neurosurgery·L N Sekhar, A R Møller
Oct 1, 1981·The Laryngoscope·G W Allen, G J Siegel

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Citations

Aug 22, 2002·Neurosurgery·Enrico de DivitiisLuigi Maria Cavallo
Feb 20, 2004·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Wolfgang J Weninger, Mathias Prokop
Apr 25, 2008·Neurosurgery·Bonnie C OngCharles Teo
Feb 3, 2009·Pituitary·Gustavo Rassier IsolanOtávio Piltcher
May 6, 2010·Surgical and Radiologic Anatomy : SRA·Bashar AbuzayedZiya Akar
Nov 7, 2012·Acta neurochirurgica·Saskia SchultheißMartin Scholz
Sep 5, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ray Gervacio F Blanco, Kofi Boahene
Jun 19, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Jason Van RompaeyC Arturo Solares
Nov 3, 2016·Journal of Neuro-oncology·Amol Raheja, William T Couldwell
Dec 1, 2016·Operative Neurosurgery·Satoshi MatsuoAlbert L Rhoton
Mar 30, 2005·Neurosurgery·Luigi Maria CavalloManfred Tschabitscher
Jul 31, 2009·Postgraduate Medicine·Mark HornyakWilliam T Couldwell
Jan 11, 2014·The Journal of Craniofacial Surgery·Zhang QiuhangLing Feng
Sep 2, 2017·Journal of Neurosurgery·William T Couldwell
Apr 4, 2012·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Jean Anderson EloyJames K Liu
Apr 28, 2006·Neurosurgery·Ganesh RaoWilliam T Couldwell
Mar 12, 2015·The Journal of Craniofacial Surgery·Ye ChengGang Zhao
Nov 14, 2013·Neurosurgical Review·Christian A BowersWilliam T Couldwell
Jan 17, 2012·Journal of Neurosurgery·Tamer AltayWilliam T Couldwell
Oct 20, 2020·Journal of Neurological Surgery. Part B, Skull Base·Amol Raheja, William T Couldwell

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