How I do it: Endoscopic endonasal resection of the medial wall of the cavernous sinus

期刊论文
发表日期：

2024年7月16日

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Eugenio Cárdenas Ruiz-Valdepeñas,
Estrella Barrero Ruiz,
Aberto Acitores Cancela,
Victor Rodriguez Berrocal

摘要

Background

Resection of the medial wall of the cavernous sinus (MWCSR) is a growing surgical maneuver for the radical removal of pituitary adenomas.

Method

We present a simple modification of the technique following the two dural layers of the floor of the sella turcica, allowing for early identification of the medial wall and simplifying dissection. We support this technique with an anatomical analysis on cadaveric specimens and clarifying dissection images.

Conclusion

Recognition and dissection of the dural unfolding of the floor of the sella turcica are "key points" that lower the risk and facilitate the MWCSR.