Endoscopic and Microsurgical Approaches to the Cavernous Sinus – Anatomical Review

Abstract

Cavernous sinus surgery has always represented a surgical challenge due to the great importance of the surrounding anatomical structures and to the high morbidity associated to it. Although the anatomy of this region has been extensively described, controversy remains related to the best treatment and approaches for different kinds of lesions. In this article, a literature review was performed on the surgical anatomy and approaches to the cavernous sinus.

Resumo

A cirurgia da região do seio cavernoso sempre representou um desafio devido à grande importância das estruturas anatômicas e às altas taxas de morbidade associadas. Embora a anatomia da região tenha sido extensivamente descrita, permanece controverso o melhor tratamento e o acesso para diferentes tipos de lesão que acometem a região. Neste artigo foi realizada uma revisão de literatura focando a anatomia cirúrgica e os acessos à região do seio cavernoso.

Keywords

cavernous sinus - endoscopic endonasal approach - transsphenoidal surgery - transpterygoid approach - microsurgical cavernous sinus

Palavras-chave

seio cavernoso - acesso endoscópico endonasal - cirurgia transesfenoidal - acesso transesfenoidal - microcirurgia do seio cavernoso

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