Cosar Murat, Seker Askn, Ceylan Davut, Tatarli Necati, Sahin Fevzi, Tokmak Mehmet, Songur Ahmet, Kilic Turker, Ozen Oguz Aslan
From the *Department of Neurosurgery, Faculty of Medicine, Canakkale 18 March University, Canakkale; †Department of Neurosurgery, Faculty of Medicine, Marmara University, Istanbul; ‡Department of Neurosurgery, Faculty of Medicine, Sakarya University, Sakarya; §Department of Neurosurgery, Dr. Lutfu Kirdar Kartal Educational Hospital, Istanbul; ∥Council of Forensic Medicine, Istanbul; ¶Department of Neurosurgery, Faculty of Medicine, Medipol University, Istanbul; #Department of Anatomy, Faculty of Medicine, Afyon Kocatepe University, Afyonkarahisar; and **Department of Anatomy, Faculty of Medicine, Namik Kemal University, Tekirdag, Turkey.
J Craniofac Surg. 2014 Nov;25(6):2199-204. doi: 10.1097/SCS.0b013e3182997fd2.
In this study, we aimed to investigate the morphometric and morphologic structures of the confluens sinuum (CS) and related structures with a silicone painting technique. We studied 30 cadavers. Twelve of them were washed with alcohol and filled with a silicone painting technique via the vena jugularis interna, internal carotid artery, and vertebral artery. The other 18 were autopsied postmortem. The CS and related structures were dissected under microscope. Their anatomy was investigated, and variations were noted. The diameters of the sinus sagittalis superior (SSS), CS, occipital sinus (OS), sinus rectus (SR), and bilateral transverse sinus (TS), and the angle between SSS and SR were measured. The mean diameters were 11.7 mm for SSS, 22.3 mm for CS, 5.25 mm for OS, 7.5 mm for SR, and 9.7 (right) and 9.1 mm (left) for TS. The angle between the SR and SSS was 58°. There was no difference in the bilateral venous structures that drained to the SSS and TS. There was an extra drainage to the CS from the left side in 4 cases. The right TS was located superiorly in 7 cases compared with the left TS, and this process was correlated with the type of CS. A septum in the SSS was detected in 2 cases. In addition, we encountered an OS in 80% of the cases. We conclude that the septum inside the CS affects the dominancy of the TS, the angle between the SSS and SR, and the other venous variations.
在本研究中，我们旨在通过硅酮灌注技术研究窦汇（CS）及其相关结构的形态测量和形态结构。我们研究了30具尸体。其中12具用酒精冲洗后，通过颈内静脉、颈内动脉和椎动脉采用硅酮灌注技术进行填充。另外18具是死后进行尸检。在显微镜下解剖CS及其相关结构。研究其解剖结构并记录变异情况。测量上矢状窦（SSS）、CS、枕窦（OS）、直窦（SR）和双侧横窦（TS）的直径，以及SSS与SR之间的夹角。SSS的平均直径为11.7mm，CS为22.3mm，OS为5.25mm，SR为7.5mm，TS右侧为9.7mm，左侧为9.1mm。SR与SSS之间的夹角为58°。引流至SSS和TS的双侧静脉结构无差异。4例左侧有额外的静脉引流至CS。7例右侧TS比左侧TS位置更高，这一情况与CS的类型相关。2例在SSS中检测到间隔。此外，80%的病例中发现有OS。我们得出结论，CS内的间隔影响TS的优势、SSS与SR之间的夹角以及其他静脉变异。
