The transnasal approach to the cavernous sinus

  • M. Loyo
  • J. F. Sanchez-Marle
  • R. del Valle
  • M. Mares


Surgical treatment of the cavernous sinus lesions, which has long been neglected, has received new attention due to the diagnostic possibilities of computerized tomography, magnetic resonance and digital angiography. With these studies valuable information can be obtained as to whether a tumor is only adjacent to the wall of the sinus or is invasive; they also give accurate information about the position of the carotid artery in relation to the sinus, while perhaps the most important contribution is the early diagnosis of the tumors before their great size makes extirpation very difficult if not impossible.


Cavernous Sinus Sphenoidal Sinus Ophthalmic Artery Transsphenoidal Surgery Transsphenoidal Approach 
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  1. 1.
    Conley J, Price J (1979) Sublabial approach to the nasal and the nasopharyngeal cavities. Am J Surg 138: 615–618PubMedCrossRefGoogle Scholar
  2. 2.
    Dolenc V (1983) Direct microsurgical repair of intracavernous vascular lesions. J Neurosurg 58: 824–831PubMedCrossRefGoogle Scholar
  3. 3.
    Dolenc V (1985) A combined epi- and subdural direct approach to carotid ophthalmic artery aneurysms. J Neurosurg 62: 667–672PubMedCrossRefGoogle Scholar
  4. 4.
    Hardy J (1963) Televised radiofluoroscopic control in intracranial surgery. Union Med Can 92: 907PubMedGoogle Scholar
  5. 5.
    Harris FS, Rhoton AL Jr (1976) Anatomy of the cavernous sinus. A microsurgical study. J Neurosurg 15: 169–180Google Scholar
  6. 6.
    Isamat F (1986) Direct intracavernous obliteration of high flow carotid- cavernous fistulas. Presented at the int symp on cavernous sinus in Ljubljana, YugoslaviaGoogle Scholar
  7. 7.
    Kaplan HA, Browder J, Kvieger A J (1976) Intracavernous connections of the cavernous sinuses. J Neurosurg 45: 166–168PubMedCrossRefGoogle Scholar
  8. 8.
    Loyo M etal (1986) Transsphenoidal microsurgery for the treatment of hypophyseal adenoma. Rev Med IMSS 24: 189–193Google Scholar
  9. 9.
    Loyo M etal (1984) Combined supra-infrasellar approach for large pituitary tumors. Neurosurgery 14: 485–488PubMedCrossRefGoogle Scholar
  10. 10.
    Maniglia AJ (1986) Indications and techniques of midfacial degloving. Arch Otolaryngol Head Neck Surg 112: 750–752PubMedGoogle Scholar
  11. 11.
    Parkinson D (1973) Carotid-cavernous fistula: direct repair with preservation of the carotid artery. J Neurosurg 38: 106Google Scholar
  12. 12.
    Rhoton AL, Harris S, Reen H (1978) Microsurgical anatomy of the sellar region and cavernous sinus. Neurosurgery 8: 54–58Google Scholar
  13. 13.
    Taptas JN (1982) The so-called cavernous sinus: a review of the controversy and its implications for neurosurgeons. Neurosurgery 5: 712–717CrossRefGoogle Scholar
  14. 14.
    Wallace S, Goldberg HI, Leeds NE, Mishkin M (1976) The cavernous branches of the internal carotid artery. Am J Roentgenol 101: 34–46Google Scholar

Copyright information

© Springer-Verlag/Wien 1987

Authors and Affiliations

  • M. Loyo
    • 1
  • J. F. Sanchez-Marle
    • 2
  • R. del Valle
    • 1
  • M. Mares
    • 2
  1. 1.Department of NeurosurgeryNational Medical Center, IMSSMexico CityMexico
  2. 2.Department of OtorhinolaryngologyMilitary Central HospitalMexico CityMexico

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