CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(03): 943-945
DOI: 10.4103/ajns.AJNS_198_16
Technical Note

The orbitomeningeal band as a way to bloodless transcavernous dissection and anterior clinoidectomy

Iype Cherian
Department of Neurosurgery, College of Medical sciences, Bharatpur, Chitwan
,
Ekkehard Kasper
1   Department of Neurosurgery, Harvard Medical School and Director of Neurosurgical Oncology at BIDMC, Boston/MA
,
Amit Agarwal
2   Department of Neurosurgery, Narayana Medical College and Hospital, Chintareddypalem, Nellore, Andhra Pradesh
› Author Affiliations

The meningo-orbital band (MOB) is a dural fold which runs along the lateral border of the superior orbital fissure and contains few small dural veins and the orbitomeningeal artery. MOB detachment is relatively easy to understand step-wise procedure, provides a wider exposure, and better orientation thus facilitating relatively easy approach to paraclinoid and cavernous sinus region. The present microsurgical technique helps to preserve the true cavernous membrane and thereby providing almost bloodless dissection of the cavernous sinus. The same technique can be used to uncover the anterior clinoid process laterally, posteriorly, superiorly, and also in the inferolateral region thereby decreasing the risk and time of clinoidectomy.



Publication History

Article published online:
14 September 2022

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