Vol.4, No 1, 1997 pp. 23 - 28
UC 611.81
THE LAYERS OF THE LATERAL WALL OF THE
CAVERNOUS SINUS
Radomir
R.Vučetić 1, Dragomir R.Vučetić 2
1 Department of Anatomy, Medical Faculty, University of
Niš, 2 Clinic of Ginecology and Obstetrics, Medical Faculty,
University of Niš,Yugoslavia
Summary. We do not approve of the concept that the lateral wall
of the cavernous sinus has only two layers, a superficial dural layer and
a deep layer. We studied 80 fetuses by surgical microscope. Micropaque
as a contrast was injected in the fetal arterial system. In the lateral
wall of the fetal cavernous sinus we are able to recognize the following
four layers: l.The first or outside dural layer. 2.The second layer we
named the layer of the trochlear nerve and its vessels. 3.The third layer
is the layer of the oculomotor nerve and ophthalmic division of the trigeminal
nerve and their vessels. 4.The fourth layer of the lateral wall of the
cavernous sinus we called the deeper layer. Recognition of those layers
in the lateral wall of the cavernous sinus is important in cavernous sinus
surgery.
Key words: Cavernous sinus, the lateral wall of the cavernous
sinus, four layers
SLOJEVI U SPOLJAŠNJEM ZIDU KAVERNOZNOG
SINUSA
Kratak sadržaj. Mi se nismo složili sa konceptom da spoljašnji zid
kavernoznog sinusa ima samo dva sloja, jedan površni duralni sloj i jedan
duboki sloj. Ispitivali smo 8o fetusa uz pomoć hirurškog mikroskopa. Micropaque
kao kontrastno sredstvo bio je ubrizgan u fetalni arterijski sistem. U
spoljašnjem zidu fetalnog kavernoznog sinusa bili smo sposobni da prepoznamo
sledeća četiri sloja: l.Prvi ili spoljašnji duralni sloj. 2.Drugi sloj
koga smo imenovali slojem trohlearnog živca i njegovih krvnih sudova. 3.Treći
sloj je sloj okulomotornog živca i oftalmične grane trigeminalnog živca
i njihovih krvnih sudova. 4.Četvrti sloj spoljašnjeg zida kavernoznog sinusa
nazvali smo najdubljim slojem. Prepoznavanje ovih slojeva u spoljašnjem
zidu kavernoznog sinusa važno je pri hirurškim zahvatima u predelu kavernoznog
sinusa.
Ključne reči: Kavernozni sinus, spoljašnji zid kavernoznog sinusa,
četiri sloja