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night before surgery photo

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From: MinnieChat

Yes, I do. In easy to understand terms  - for years, image guided systems were not used for pituitary surgery. When working with tumors less than 1cm, the bony sella is small and tight and the tumor is located within the sella. On either side of the sella, in the cavernous sinus area is the following:

Cavernous Sinus

Structures in the wall: 
oculomotor nerve 
trochlear nerve 
ophthalmic division of
trigeminal nerve 
maxillary division of trigeminal
nerve (sometimes)

Structures within the sinus: 
abducens nerve 
internal carotid artery 
carotid sympathetic plexus

Picture is here:


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