The Cavernous Sinus: An Anatomic Study with Clinical Implications
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December 2025By Myles L. Pensak, MD (doi. org/10.1002/lio2.1226)
The management of lesions involving the cavernous sinus remains a formidable challenge. To optimize care for patients with tumors extending into this skull base region, a detailed understanding of the surrounding osteology, as well as neural and vascular relationships, is requisite. This thesis examines the gross anatomy of the region and highlights important surgical implications drawn from these, as well as previously published studies.
By Saad Alsaleh, MBBS, FRCSC, Nehal Kamal, BSc Pharma, Claire Hopkins, DM, Hussain Al Rand, MD, Facharzt, Osama A. Marglani, MD, FRCSC, Abdulmohsen Alterki, FRCSC, Omar Abu Suliman, MBBS, FACS, Talal Alandejani, MD, FRCSC, Reda Kamel, MD, Rashid Al Abri, MD, FRCS, Naif H. Alotaibi, MD, MSc, Ahmad Al Amadi, MBChB, FRCS, Abdullah Bahakim, MD, D.E.S, Joseph K. Han, MD, FARS, FAAAAI, Amin Javer, MD, FRCSC, FARS, Ahmad R. Sedaghat, MD, PhD, and Philippe Gevaert, MD, PhD (doi.org/10.1002/lio2.1277)
Chronic rhinosinusitis is a heterogeneous disorder with a wide range of validated subjective and objective assessment tools to assess disease severity. A comprehensive and easy-to-use tool that integrates these measures for determining disease severity and response to treatment, however, is still obscure. The objective of this study was to develop a standardized assessment tool that facilitates diagnosis, uniform patient monitoring, and comparison of treatment outcomes between different centers, both in routine clinical practice and in research.
Modified Technique Improves Efficacy for In‐Office Posterior Nasal Nerve Ablation
By Daniel Gorelik, MD, MPH, Aatin K. Dhanda, BA, Alexander Choi, MD, Masayoshi Takashima, MD, Najm S. Khan, MBS, Nicholas R. Rowan, MD, Aria Jafari, MD, Tariq Syed, MS, and Omar G. Ahmed, MD (doi.org/10.1002/lio2.1238)
Posterior nasal nerve ablation is a minimally invasive treatment option for patients with chronic rhinitis. Recent evidence shows that parasympathetic innervation of the nasal cavity is more extensive, and there are many fibers posterior to the lateral attachment of the middle turbinate. We describe a modified ablative technique that targets the extensive innervation of the posterior nasal nerves.
Proposal for Standardized Ultrasound Analysis of the Salivary Glands: Part 1 Submandibular Gland
By Henry T. Hoffman, MD, Michael Koch, MD, Robert Lee Witt, MD, William R. Ryan, MD, Johannes Zenk, MD, Philippe Katz, MD, Rahmatullah Rahmati, MD, Christopher Rassekh, MD, Francisco Donato, MD, Timothy M. McCulloch, MD, Arjun S. Joshi, MD, Jolie Lien Chang, MD, M. Boyd Gillespie, MD, Priscilla F. A. Pichardo, DO, Lisa Ann Orloff, MD, Antonio Marcelino, MD, Piper Wenzel, BS, David Cohen, MD, Christopher E. Fundakowski, MD, David M. Cognetti, MD, Rohan R. Walvekar, MD, Antonio Bertelli, MD, Harry Quon, MD, Carryn Anderson, MD, Bruno Policeni, MD, and Gordy Siegel, MD (doi.org/10.1002/ lio2.1224)
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