Sphenoidotomy.
Because of the complex anatomic relations of the sphenoid, the surgical approach to this sinus was only introduced 100 years ago. There are three approaches to the sphenoid sinus: transethmoidal, transseptal, and transpalatal. We present a case report, and discuss surgical anatomy, with attention to the important anatomic relationship of the cavernous sinus and its contents. A variant of the classical, sublabial, transseptal approach is described as follows: a window is created in the face of the sphenoid. This approach is particularly applicable to the surgery of mucoceles and allows easy postoperative inspection of the sphenoid sinus.
Ghorayeb
B Y
BY
Department of Otolaryngology-Head and Neck Surgery, University of Texas Medical School-Houston 77030.
D000328:Adult; D002426:Cavernous Sinus / Q000033:anatomy & histology / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009078:Mucocele / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D013101:Sphenoid Sinus / Q000033:anatomy & histology / Q000000981:diagnostic imaging / Q000601:surgery*; D013492:Suppuration / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed