Approach to the cavernous sinus

  • G. Frank
  • E. Pasquini


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.


Pituitary Adenoma Cavernous Sinus Maxillary Sinus Trigeminal Neuralgia Sphenoid Sinus 
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© Springer-Verlag Wien 2003

Authors and Affiliations

  • G. Frank
  • E. Pasquini

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