Relações anatômicas do seio emissário do forame oval e suas implicações clínico-cirúrgicas

Simões, Sylvio

doi:10.1590/S0004-282X1973000100001

Resumos

Após dissecar a fossa média da base do crânio de 50 cadáveres de indivíduos brasileiros, leuco e melanodermas, cujas idades variaram de 25 a 80 anos, o autor sistematizou as relações anatômicas do seio emissário do forame oval com os elementos nervosos e durais circunjacentes. Concluiu ser o referido seio emissário um elemento anatômico de considerável importância do ponto de vista clínico-cirúrgico, devendo ser lembrado sobretudo na terapêutica cirúrgica do gânglio trigeminal e do segmento intracraniano dos nervos maxilar e mandibular.

Results of dissection of middle cranial fossa of the skull base of 50 white and no-white brazilian cadavers' whose ages varied form 25 to 80 years are reported. The anatomic relations of the ovale foramen emissary sinus with the surrounding dura mater and nervous components were systematized. It was verified that the lateral walls of the emissary sinus of the foramen ovale are related to: a) with the anterior edge of the trigeminal ganglion in the totality of the examined cases; b) with the middle third of the medial face of the trigeminal ganglion, in 68% of the examined cases; c) with the medial surface of the proximal extreme of the maxilar branch, in the totality of the examined cases; d) with the anterior superior edge and the anterior half of the medial surface of the intracranial segment of the mandibular nerve, including its motor root, in 99% of the examined cases; e) with the lateral face of the intracranial segment of the mandibular nerve, at the foramen ovale, in 9% of the examined cases; f) with the region between the inferior edge of the ophtalmic nerve and the superior edge of the maxilar nerve (angle V1-V2), near its vertex in 45% of the examined cases; g) with the region between the inferior edge of the maxilar nerve and the anterior edge of the mandibular nerve (angle V2-V3), in 100% of the examined cases. The author concludes that the quoted emissary sinus is an important anatomic element at the clinical-surgical point of view. It must be recalled mainly in concern with the surgical therapy of the trigeminal ganglion, and the maxillary and mandibular nerves intracranial segment.

Relações anatômicas do seio emissário do forame oval e suas implicações clínico-cirúrgicas

Anatomic relations of the emissary sinus of the foramen ovale and its clinic-surgical implications

Sylvio Simões

Professor Colaborador do Departamento de Anatomia (Setor Odontologia) do Instituto de Ciências Biométricas da Universidade de São Paulo e Professor Assistente responsável pela Disciplina de Anatomia da Faculdade de Odontologia de São José dos Campos (SP)

RESUMO

Após dissecar a fossa média da base do crânio de 50 cadáveres de indivíduos brasileiros, leuco e melanodermas, cujas idades variaram de 25 a 80 anos, o autor sistematizou as relações anatômicas do seio emissário do forame oval com os elementos nervosos e durais circunjacentes.

Concluiu ser o referido seio emissário um elemento anatômico de considerável importância do ponto de vista clínico-cirúrgico, devendo ser lembrado sobretudo na terapêutica cirúrgica do gânglio trigeminal e do segmento intracraniano dos nervos maxilar e mandibular.

SUMMARY

Results of dissection of middle cranial fossa of the skull base of 50 white and no-white brazilian cadavers' whose ages varied form 25 to 80 years are reported. The anatomic relations of the ovale foramen emissary sinus with the surrounding dura mater and nervous components were systematized. It was verified that the lateral walls of the emissary sinus of the foramen ovale are related to: a) with the anterior edge of the trigeminal ganglion in the totality of the examined cases; b) with the middle third of the medial face of the trigeminal ganglion, in 68% of the examined cases; c) with the medial surface of the proximal extreme of the maxilar branch, in the totality of the examined cases; d) with the anterior superior edge and the anterior half of the medial surface of the intracranial segment of the mandibular nerve, including its motor root, in 99% of the examined cases; e) with the lateral face of the intracranial segment of the mandibular nerve, at the foramen ovale, in 9% of the examined cases; f) with the region between the inferior edge of the ophtalmic nerve and the superior edge of the maxilar nerve (angle V1-V2), near its vertex in 45% of the examined cases; g) with the region between the inferior edge of the maxilar nerve and the anterior edge of the mandibular nerve (angle V2-V3), in 100% of the examined cases.

The author concludes that the quoted emissary sinus is an important anatomic element at the clinical-surgical point of view. It must be recalled mainly in concern with the surgical therapy of the trigeminal ganglion, and the maxillary and mandibular nerves intracranial segment.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

14. HORSLEY, V. apud HARRIS, W.¹⁰

23. SPILLER, W. G. & FRAZIER, C. H. apud VAN GEHUCHTEN, A.²⁵

Instituto de Ciencias Biomédicas da Univ. de São Paulo Caixa Postal 4365 01000 São Paulo, SP Brasil.

1. BERGMANN, L. Studies on the blood vessels of the human Gasserian ganglion. Anat. Rec. 82: 609, 1942.
2. BILLET, R. & LE BEAU, J. Décompression du ganglion de Gasser comme traitement de la névralgie faciale. Neuro-chirurgie (Paris) 3: 138, 1957.
3. BONIVENTO, M. & FRANCESCONI, G. Compromissione della radice motoria del trigemino con risparmio della III branca in due casi di aneurisma della carotide nel seno cavernoso. Riv. Neurol. (Napoles) 26: 217, 1956.
4. BONNET, P. & BONNET, I. Le syndrome du trou déchiré antérieur, symptomatique de l'anéurysme intra-caverneux de la carotide interne. Arch. Ophtal. (Paris) 13: 121, 1953.
5. CUSHING, H. The major trigeminal neuralgia and their surgical treatment based on experiences with 332 Gasserian operations. Amer. J. med. Sci. 160: 157, 1920.
6. DANDY, W. E. Trigeminal neuralgia: causes. Amer. J. Surg. 24: 447, 1934.
7. DAVIDOFF, L. Trigeminal neuralgia. Profess. Staff. Proc. Halloran Gen. Hosp. 1: 15, 1946.
8. DAVIS, L. & MARTIN, J. Tumors, surgical lesions of paratrigeminal area. J. Amer. med. Ass. 113: 1952, 1939.
9. GAMA, C. Novos aperfeiçoamentos da technica da alcoolisação do ganglio de Gasser. Bol. Soc. Med. Cir. de São Paulo 13 : 336, 1929.
10. HARRIS, W. A history of the treatment of trigeminal neuralgia. Postgrad, med. J. 27: 18, 1951.
11. HARRISON, T. H. & ODOM, G. L. & KUNKLE, E. C. Internal carotid aneurysms arising in carotid canal. Report of a case with extension to the Gasserian ganglion. Arch. Neurol. (Chicago) 8: 328, 1963.
12. HENDERSON, W. R. The anatomy of the Gasserian ganglion and the distribution of pain in relation to injections and operations for trigeminal neuralgia. Ann. roy. Coll. Surg. Engl. 37: 346, 1965.
13. HENDERSON, W. R. A note on the relationship of the human maxillary nerve to the cavernous sinus and to an emissary sinus passing through the foramen ovale. J. Anat. (London) 110: 905, 1966.
15. KANAVEL, A. B. & DAVIS, L. E. Surgical anatomy of the trigeminal nerve. Surg. Gynec. Obstet. 34: 357, 1922.
16. KERR, F. L. The etiology of trigeminal neuralgia. Arch. Neurol. (Chicago) 8: 15, 1983.
17. KNIGHT, G. Clinical features and treatment of trigeminal neuralgia. Med. ill. (London) 4: 349, 1950.
18. LIST, C. F. & WILLIAMS, J. R. Pathogenesis of trigeminal neuralgia. Arch. Neurol. Psychiat. (Chicago) 77: 36, 1957.
19. PIETRANTONI, L. Sulle vie di propagazione dei processi infiammatori dall' orecchio medio all'apice della rocca petrosa, al seno cavernoso, al VIş paio e al ganglio di Gasser; la via venosa. Arch. ital. Otol. 38 : 296, 1927.
20. SANTAMARIA, M. A navralgia facial essencial e seu tratamento cirúrgico. Tese de doutoramento apresentada à Faculdade de Medicina e Cirurgia de São Paulo, 1924, 198 pág.
21. SEVERINI, P. & POMPILI, A. Considerazioni preliminari su di una patogenesi meccanico-vascolare della nevralgia del trigemino. Riv. oto-neuro-oftal. 41: 359, 1966.
22. SIMÕES, S. Contribuição ao estudo do sistema venoso da área peritrigeminal. Seio emissário do forame oval. Tese de doutoramento apresentada ao Instituto de Ciências Biomédicas da Univ. de São Paulo, 1971, 91 pág.
24. TÓTH, S. & ZOLTÁN, L. Zur Frage der Bewertung der intraduralen trigeminalen Radikotomie. Neurochirurgia (Stuttgart) 7: 95, 1964.
25. VAN GEHUCHTEN, A. The surgical treatment of trifacial neuralgia. Univ. Pennsylvania Med. Bull. 17: 50, 1904.
26. WHITE, J. C. & ADAMS, R. D. Combined supra and infraclinoid aneurysms of internal carotid artery; report of a case of unusual congenital dilatation of intracranial portion of carotid artery and injuries to visual, oculomotor, sensory, and taste fibres. J. Neurosurg. 12: 450, 1955.
27. WILKINS, R. H. Neurosurgical classic: XIII. J. Neurosurg. 20: 1009, 1963.

Datas de Publicação

Publicação nesta coleção
16 Abr 2013
Data do Fascículo
Mar 1973

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. BERGMANN, L. Studies on the blood vessels of the human Gasserian ganglion. Anat. Rec. 82: 609, 1942.

[2] 2. BILLET, R. & LE BEAU, J. Décompression du ganglion de Gasser comme traitement de la névralgie faciale. Neuro-chirurgie (Paris) 3: 138, 1957.

[3] 3. BONIVENTO, M. & FRANCESCONI, G. Compromissione della radice motoria del trigemino con risparmio della III branca in due casi di aneurisma della carotide nel seno cavernoso. Riv. Neurol. (Napoles) 26: 217, 1956.

[4] 4. BONNET, P. & BONNET, I. Le syndrome du trou déchiré antérieur, symptomatique de l'anéurysme intra-caverneux de la carotide interne. Arch. Ophtal. (Paris) 13: 121, 1953.

[5] 5. CUSHING, H. The major trigeminal neuralgia and their surgical treatment based on experiences with 332 Gasserian operations. Amer. J. med. Sci. 160: 157, 1920.

[6] 6. DANDY, W. E. Trigeminal neuralgia: causes. Amer. J. Surg. 24: 447, 1934.

[7] 7. DAVIDOFF, L. Trigeminal neuralgia. Profess. Staff. Proc. Halloran Gen. Hosp. 1: 15, 1946.

[8] 8. DAVIS, L. & MARTIN, J. Tumors, surgical lesions of paratrigeminal area. J. Amer. med. Ass. 113: 1952, 1939.

[9] 9. GAMA, C. Novos aperfeiçoamentos da technica da alcoolisação do ganglio de Gasser. Bol. Soc. Med. Cir. de São Paulo 13 : 336, 1929.

[10] 10. HARRIS, W. A history of the treatment of trigeminal neuralgia. Postgrad, med. J. 27: 18, 1951.

[11] 11. HARRISON, T. H. & ODOM, G. L. & KUNKLE, E. C. Internal carotid aneurysms arising in carotid canal. Report of a case with extension to the Gasserian ganglion. Arch. Neurol. (Chicago) 8: 328, 1963.

[12] 12. HENDERSON, W. R. The anatomy of the Gasserian ganglion and the distribution of pain in relation to injections and operations for trigeminal neuralgia. Ann. roy. Coll. Surg. Engl. 37: 346, 1965.

[13] 13. HENDERSON, W. R. A note on the relationship of the human maxillary nerve to the cavernous sinus and to an emissary sinus passing through the foramen ovale. J. Anat. (London) 110: 905, 1966.

[14] 15. KANAVEL, A. B. & DAVIS, L. E. Surgical anatomy of the trigeminal nerve. Surg. Gynec. Obstet. 34: 357, 1922.

[15] 16. KERR, F. L. The etiology of trigeminal neuralgia. Arch. Neurol. (Chicago) 8: 15, 1983.

[16] 17. KNIGHT, G. Clinical features and treatment of trigeminal neuralgia. Med. ill. (London) 4: 349, 1950.

[17] 18. LIST, C. F. & WILLIAMS, J. R. Pathogenesis of trigeminal neuralgia. Arch. Neurol. Psychiat. (Chicago) 77: 36, 1957.

[18] 19. PIETRANTONI, L. Sulle vie di propagazione dei processi infiammatori dall' orecchio medio all'apice della rocca petrosa, al seno cavernoso, al VIş paio e al ganglio di Gasser; la via venosa. Arch. ital. Otol. 38 : 296, 1927.

[19] 20. SANTAMARIA, M. A navralgia facial essencial e seu tratamento cirúrgico. Tese de doutoramento apresentada à Faculdade de Medicina e Cirurgia de São Paulo, 1924, 198 pág.

[20] 21. SEVERINI, P. & POMPILI, A. Considerazioni preliminari su di una patogenesi meccanico-vascolare della nevralgia del trigemino. Riv. oto-neuro-oftal. 41: 359, 1966.

[21] 22. SIMÕES, S. Contribuição ao estudo do sistema venoso da área peritrigeminal. Seio emissário do forame oval. Tese de doutoramento apresentada ao Instituto de Ciências Biomédicas da Univ. de São Paulo, 1971, 91 pág.

[22] 24. TÓTH, S. & ZOLTÁN, L. Zur Frage der Bewertung der intraduralen trigeminalen Radikotomie. Neurochirurgia (Stuttgart) 7: 95, 1964.

[23] 25. VAN GEHUCHTEN, A. The surgical treatment of trifacial neuralgia. Univ. Pennsylvania Med. Bull. 17: 50, 1904.

[24] 26. WHITE, J. C. & ADAMS, R. D. Combined supra and infraclinoid aneurysms of internal carotid artery; report of a case of unusual congenital dilatation of intracranial portion of carotid artery and injuries to visual, oculomotor, sensory, and taste fibres. J. Neurosurg. 12: 450, 1955.

[25] 27. WILKINS, R. H. Neurosurgical classic: XIII. J. Neurosurg. 20: 1009, 1963.