Pahwa Bhavya, Singh Narinder, Singh Gaurav, Chavda Vishal, Montemurro Nicola, Chaurasia Bipin
-, GTB Hospital, New Delhi, India.
-, Indian Institute of Management Amritsar, Amritsar, India.
J Neurol Surg A Cent Eur Neurosurg. 2022 Dec 30. doi: 10.1055/a-2005-0482.
IIntroduction. The cavernous sinus (CS) is a paired venous sinus in the human brain that is classified as a true dural venous sinus rather than a venous plexus. The entire CS is separated by septa into two small cavities called caves. The CS has a very close resemblance to various key structures present in the head. The CS is a blood compartment that contains ligaments, endothelium, and trabeculae. It is clinically significant because of its position and relationship with several cranial nerves. Clinical implications. For effective management and treatment of CS syndrome, CS thrombosis, carotid-cavernous fistula, and other CS-related problems, CS surgery became necessary. As a result of the lack of sophisticated surgical techniques in the past, CS surgery was exceedingly challenging, complicated, and deadly. The surgery of CSs can benefit from a variety of surgical procedures, including extradural and intradural, endoscopic endonasal, rhomboid, and temporopolar trans cavernous approaches. In this review, numerous surgical procedures for CS are discussed along with their intended uses. Conclusions. A greater understanding of the CS was made possible by the quick modifications and improvements in surgical methods, which aided in neurosurgery procedures.
引言。海绵窦（CS）是人类大脑中的一对静脉窦，被归类为真正的硬脑膜静脉窦而非静脉丛。整个海绵窦被隔膜分隔成两个称为腔的小腔。海绵窦与头部存在的各种关键结构非常相似。海绵窦是一个包含韧带、内皮和小梁的血腔。由于其位置以及与几条颅神经的关系，它具有临床意义。临床意义。为了有效管理和治疗海绵窦综合征、海绵窦血栓形成、颈动脉海绵窦瘘及其他与海绵窦相关的问题，海绵窦手术变得必要。由于过去缺乏复杂的手术技术，海绵窦手术极具挑战性、复杂且致命。海绵窦手术可受益于多种手术方法，包括硬膜外和硬膜内、鼻内镜、菱形和颞极经海绵窦入路。在本综述中，讨论了用于海绵窦的多种手术方法及其预期用途。结论。手术方法的快速改进和完善使得对海绵窦有了更深入的了解，这有助于神经外科手术。
