J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803410
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Orbital Apex and Cavernous Sinus Exenteration in a Patient with Rhinocerebral Mucormycosis

Sung-Woo Cho
1   Seoul National University Bundang Hospital, Bundang-gu, Seongnam-si, Gyeonggi-do, South Korea
,
Tae-Bin Won
1   Seoul National University Bundang Hospital, Bundang-gu, Seongnam-si, Gyeonggi-do, South Korea
,
Chae-Seo Rhee
1   Seoul National University Bundang Hospital, Bundang-gu, Seongnam-si, Gyeonggi-do, South Korea
,
Kihwan Hwang
1   Seoul National University Bundang Hospital, Bundang-gu, Seongnam-si, Gyeonggi-do, South Korea
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The surgical procedure presented here involves an orbital exenteration through a transfacial approach, along with endoscopic access to the cavernous sinus and the supraorbital fissure, in a patient with rhinocerebral mucormycosis. The contents of the cavernous sinus, including the internal carotid artery (ICA), were resected, with boundaries extending to the proximal dural ring superiorly and the petrous part of the ICA inferiorly. Necrotic tissue in the middle cranial fossa was identified and removed.



Publication History

Article published online:
07 February 2025

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