Superior Contents of Superior orbital Fissure
L
F
T
SOV
Middle Contents of Superior orbital Fissure
O
N
A
O
Inferior Contents of Superior orbital Fissure
IOV
Contents of Optic Canal
Optic Nerve
Ophthalmic Artery
SOF made by which bones
Gap between GWS laterally and LWS medially
Optic Canal made by which bones
Defect in LWS
Inferior Orbital Fissure made from which bones?
GWS and Maxilla
First sign to know the spread of the one side Cav Sinus thrombosis to the other side
LR palsy
First cranial nerve involved in the CSThrombosis
CN 6
Most common spread from where in CVthrombosis
Danger triangle of face
CVThrombosis mortality without and with Rx
100%
20%
Imaging modality of choice for CVThrombosis
CECT / MRI Venography
Up to ___% have residual cranial nerve deficits (esp. III or VI palsy) in CVThrombosis
50%
___% may have permanent vision loss in CVThombosis
15%
Rx of CVTHROMBOSIS
Antibiotics
Anticoagulants
Steroids in severe cases
Surgery
Infection spreads via ____& _____, leading to CVthrombosis
valveless facial and ophthalmic veins
Cavernous sinus contains
cranial nerves III, IV, V1/V2, VI, and the internal carotid artery with Sympathetic nerves around it.
Veins draining into Cavernous sinus from Orbit
Superior Ophthalmic Vein
Central Retinal Vein
Inferior Ophthalmic Vein
Cavernous Sinus drains into
Superior Petrosal Vein > Transverse Sinus
Inferior Petrosal Vein > Internal Jugular Vein
Pterygoid Plexus
Sinus connecting each Cavernous sinuses
:anterior and posterior intercavernous sinuses
:basilar plexus of veins.
Chandler classification
Stage I: Preseptal Cellulitis:
Stage II: Orbital Cellulitis:
Stage III: Subperiosteal Abscess:
Stage IV: Orbital Abscess:
Stage V: Cavernous Sinus Thrombosis: