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20-11-2023 | Original Article

Anterolateral surgical triangle of the cavernous sinus: a cadaveric study of neurosurgical importance

Authors: Ariyanachi Kaliappan, Rohini Motwani, Mrudula Chandrupatla

Published in: Surgical and Radiologic Anatomy

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Abstract

Background

The anterolateral triangle around the cavernous sinus is a surgical skull base triangle used as a neurosurgical landmark essential to skull-based surgeries. There are few reports of its measurements with little attention paid to anatomical variations.

Methodology

A total of 15 adult human cadaveric skulls were dissected to expose the anterolateral triangle on both sides. The triangle was defined and measurements of the three borders were taken precisely and the area of each triangle was calculated using Heron’s formula.

Results

On an average, the length of the anteromedial border is 11.4 (+ 2.2 mm); the length of the posteromedial border is 8.7 (+ 2.6 mm); the length of the lateral border is 13.06 (+ 2.6 mm) and the area of the anterolateral triangle is 48.05 (+ 17.5 mm2).

Conclusion

Concise understanding of anterolateral triangle is essential to skull-based surgeries; comprehending its anatomy helps with better surgical planning and provides insight into local pathology.
Literature
1.
go back to reference Rhoton AL (2002) The cavernous sinus, the cavernous venous plexus, and the carotid collar. Neurosurgery 51(4):S375-410 PubMed Rhoton AL (2002) The cavernous sinus, the cavernous venous plexus, and the carotid collar. Neurosurgery 51(4):S375-410 PubMed
10.
go back to reference Kassam AB, Gardner P, Snyderman C, Mintz A, Carrau R (2005) Expanded endonasal approach: fully endoscopic, completely transnasal approach to the middle third of the clivus, petrous bone, middle cranial fossa, and infratemporal fossa. Neurosurg Focus 19(1):6 CrossRef Kassam AB, Gardner P, Snyderman C, Mintz A, Carrau R (2005) Expanded endonasal approach: fully endoscopic, completely transnasal approach to the middle third of the clivus, petrous bone, middle cranial fossa, and infratemporal fossa. Neurosurg Focus 19(1):6 CrossRef
13.
go back to reference Kassam A, Snyderman CH, Mintz A, Gardner P, Carrau RL (2005) Expanded endonasal approach: the rostrocaudal axis. Part .I Crista galli to the sella turcica. Neurosurg Focus 19(1):3 Kassam A, Snyderman CH, Mintz A, Gardner P, Carrau RL (2005) Expanded endonasal approach: the rostrocaudal axis. Part .I Crista galli to the sella turcica. Neurosurg Focus 19(1):3
Metadata
Title
Anterolateral surgical triangle of the cavernous sinus: a cadaveric study of neurosurgical importance
Authors
Ariyanachi Kaliappan
Rohini Motwani
Mrudula Chandrupatla
Publication date
20-11-2023
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-023-03261-1