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The maxillary branch passes external to, but immediately adjacent to, the lateral wall of the sinus. [1] The optic nerve lies just above and outside the cavernous sinus, superior and lateral to the pituitary gland on each side, and enters the orbital apex via the optic canal.
The lateral approach is then used to reach the medial cavernous sinus and petrous apex. Lastly, the inferior approach is used to reach the superior clivus. Endoscopic endonasal transclival approaches are often described according to which segment of the clivus is involved in the approach, with the clivus typically divided into three regions. [9]
The petrolingual ligament lies at the posteroinferior aspect of the lateral wall of the cavernous sinus and marks the point at which the internal carotid artery enters the cavernous sinus. Anatomically, the petrolingual ligament demarcates two of the segments of the internal carotid artery:
The anterior clinoid process is a pyramid-shaped bony projection of the lesser wing of the sphenoid bone and forms part of the lateral wall of the optic canal. Between each ACP lies the sella turcica, which holds the pituitary gland. Additionally, the ACP is part of the anterior roof of the cavernous sinus. The posterior and inferior portions ...
The anterior petroclinoid ligament acts to laterally limit the superior wall of the cavernous sinus. The posterior petroclinoid ligament limits the posterior wall of the cavernous sinus. The angle between the two ligaments varies from 20 to 55 degrees. [3] [4] Anatomical Relations and Clinical significance:
Caldwell-Luc surgery, Caldwell-Luc operation, also known as Caldwell-Luc antrostomy, and Radical antrostomy, is an operation to remove irreversibly damaged mucosa of the maxillary sinus. It is done when maxillary sinusitis is not cured by medication or other non-invasive technique. The approach is mainly from the anterior wall of the maxilla bone.
Infections of the infratemporal space are rare. They may be significant however, as it is possible for infection to spread via emissary veins from the pterygoid plexus to the cavernous sinus, which may result in cavernous sinus thrombosis, a rare but life-threatening condition. [2]
The Cavernous Sinus. Each trochlear nerve originates from a trochlear nucleus in the medial midbrain.From their respective nuclei, the two trochlear nerves then travel dorsal-ward through the substance of the midbrain surrounded by the periaqueductal gray, crossing over (decussating) within the midbrain before emerging from the dorsal midbrain [3] [4] just inferior to the inferior colliculus. [4]