Abordaje endoscópico etmoidopterigoesfenoidal al seno cavernoso

Translated title of the contribution: Endoscopic ethmoid-pterygoid-sphenoidal approach to the cavernous sinus

Ernesto Pasquini, Giorgio Frank, Diego Mazzatenta, María A. Fernández, Vittorio Sciarretta, Giovanni Macrì, Giovanni Farneti

Research output: Contribution to journalArticlepeer-review


For centuries, the cavernous sinus has been a poorly classified anatomical structure. The approach to this region has classically been extracranial. However, since the 1980s, there has been increasing interest in the endoscopic endonasal approach. The present article provides a detailed description of the surgical technique and analyzes 95 patients with pituitary adenomas with involvement of the cavernous sinus who underwent surgery from May 1998 to December 2006. Pre- and postoperative magnetic resonance imaging was used to evaluate the degree of extirpation and endocrinological studies were used to evaluate functional results. The endoscopic ethmoid-pterygoid-sphenoidal approach was used in 40% of the patients and resulted in improved endocrine parameters, low morbidity and no mortality. The endoscopic approach improves visualization and is safe and effective in the treatment of cavernous sinus tumors. Because of the low complications rate and the substantial benefits of this technique, external techniques should be reevaluated.

Translated title of the contributionEndoscopic ethmoid-pterygoid-sphenoidal approach to the cavernous sinus
Original languageSpanish
Pages (from-to)50-58
Number of pages9
JournalActa Otorrinolaringologica Espanola
Issue numberSUPPL.1
Publication statusPublished - Oct 16 2007


  • Cavernous sinus
  • Endoscopic approach
  • Ethmoid-pterygoid-sphenoidal approach
  • Pituitary macroadenomas

ASJC Scopus subject areas

  • Otorhinolaryngology


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