AAS ›› 2014, Vol. ›› Issue (2): 263-266.doi: 10.3969/j.issn.0529-1356.2014.02.022

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Anatomy of the extended endoscopic endonasal transsphenoidal approach to the cavernous sinus

LIANG Qiang LI Qiang DING Yong-zhong* XIE Min ZHOU Wang-ning DUAN Lei   

  1. Neurosurgery, the Second Hospital of Lanzhou University, Lanzhou 730000, China
  • Received:2013-02-21 Revised:2013-04-29 Online:2014-04-06 Published:2014-04-06
  • Contact: DING Yong-zhong E-mail:dyz.000@163.com

Abstract:

Objective To explore the endoscopic endonasal approach to cavernous sinus via extended transsphenoidal approach and establish the anatomic basis for endoscopic endonasal treatment. Methods Eight fresh adult cadavers were studied bilaterally (n =16). Zero and 30 degree rod lens rigid endoscope was used during dissection. After cadaver preparation, extended endoscopic endonasal approaches were performed to access the cavernous sinus. Results Endoscopic expanded nasal approach revealed the cavernous sinus structure and relevant anatomic landmarks were good for the anatomical localization. Conclusion The extended endoscopic endonasal transsphenoidal approach is the best surgical approach to the cavernous sinus.