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Surgical Approaches to the Cavernous Sinus

机译:海绵窦的手术方法

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摘要

Multiple pathologies occur in the cavernous sinus. Despite the anatomic complexities of this region, many of these pathologies can be addressed surgically. Such surgical approaches require significant preoperative evaluation and preparation, Two major surgical approaches to the cavernous sinus are discussed in this article: the cranioorbitozygomatic (COZ) and the extended middle fossa approaches. The COZ approach can be tailored for superior entry into the cavernous sinus and intra- or extradural entry to the lateral cavernous sinus. Lesions in the posterior or lateral cavernous sinus can also be approached through the extended middle fossa approach. The steps involved in each of these approaches are illustrated and discussed.
机译:海绵窦内有多种病理。尽管该区域解剖结构复杂,但许多这些病理仍可通过外科手术解决。这种手术方法需要进行大量的术前评估和准备。本文讨论了两种治疗海绵窦的主要手术方法:颅眶吻合术(COZ)和扩展中窝方法。可对COZ方法进行量身定制,以使其更好地进入海绵窦并从硬膜内或硬膜外进入外侧海绵窦。后部或外侧海绵窦的病变也可以通过扩展的中窝窝入路来处理。说明并讨论了每种方法所涉及的步骤。

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