The Importance of the Lateral Extensions of the Sphenoidal Sinus in Post-Traumatic Cerebrospinal Rhinorrhoea and Meningitis

Clinical and Radiological Aspects

T. P. Morley Department of Surgery, University of Toronto, and Division of Neurosurgery and Department of Radiology, Toronto General Hospital, Toronto, Ontario

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George Wortzman Department of Surgery, University of Toronto, and Division of Neurosurgery and Department of Radiology, Toronto General Hospital, Toronto, Ontario

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  • 1.

    Cope, V. Z. The internal structure of the sphenoidal sinus. J. Anat., Lond., 1916, 51:127136.Cope, V. Z. The internal structure of the sphenoidal sinus. J. Anat., Lond., 1916, 51:127–136.

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  • 2.

    Frazer, J. E. The anatomy of the human skeleton. London: J. & A. Churchill, 1933, 3rd ed., viii, 292 pp. (see p. 247).Frazer, J. E. The anatomy of the human skeleton. London: J. & A. Churchill, 1933, 3rd ed., viii, 292 pp. (see p. 247).

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  • 3.

    Ghouralal, S., , Myers, P. W., and & Campbell, E. Persistent cerebrospinal rhinorrhoea originating in a fracture through the petrous bone and cured by muscle graft. Report of a case. J. Neurosurg., 1956, 13: 205207.Ghouralal, S., Myers, P. W., and Campbell, E. Persistent cerebrospinal rhinorrhoea originating in a fracture through the petrous bone and cured by muscle graft. Report of a case. J. Neurosurg., 1956, 13: 205–207.

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  • 4.

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    Gray, H. Anatomy of the human body. C. M. Goss, Ed. Philadelphia: Lea & Febiger, 1954, 26th ed., 1480 pp. Gray, H. Anatomy of the human body. C. M. Goss, Ed. Philadelphia: Lea & Febiger, 1954, 26th ed., 1480 pp.

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  • 6.

    Hirsch, O. Successful closure of cerebrospinal fluid rhinorrhea by endonasal surgery. Arch. Otolaryng., Chicago, 1952, 56: 112.Hirsch, O. Successful closure of cerebrospinal fluid rhinorrhea by endonasal surgery. Arch. Otolaryng., Chicago, 1952, 56: 1–12.

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  • 7.

    Johnson, R. T., and & Dutt, P. On dural laceration over paranasal and petrous air sinuses. Brit. J. Surg., War Surg. Suppl. No. 1, 1947, 141167.Johnson, R. T., and Dutt, P. On dural laceration over paranasal and petrous air sinuses. Brit. J. Surg., War Surg. Suppl. No. 1, 1947, 141–167.

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  • 8.

    Kirchner, F. R., and & Proud, G. O. Method for the identification and localization of cerebrospinal fluid, rhinorrhea and otorrhea. Laryngoscope, St. Louis, 1960, 70: 921931.Kirchner, F. R., and Proud, G. O. Method for the identification and localization of cerebrospinal fluid, rhinorrhea and otorrhea. Laryngoscope, St. Louis, 1960, 70: 921–931.

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  • 9.

    Lewin, W., and & Cairns, H. Fractures of sphenoidal sinus with cerebrospinal rhinorrhoea. Brit. med. J., 1951, 1: 16.Lewin, W., and Cairns, H. Fractures of sphenoidal sinus with cerebrospinal rhinorrhoea. Brit. med. J., 1951, 1: 1–6.

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  • 10.

    Morley, T. P., and & Hetherington, R. F. Traumatic cerebrospinal fluid rhinorrhea and otorrhea, pneumocephalus, and meningitis. Surg. Gynec. Obstet., 1957, 104: 8898.Morley, T. P., and Hetherington, R. F. Traumatic cerebrospinal fluid rhinorrhea and otorrhea, pneumocephalus, and meningitis. Surg. Gynec. Obstet., 1957, 104: 88–98.

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  • 11.

    Peele, J. C. Unusual anatomical variations of the sphenoid sinuses. Laryngoscope, St. Louis, 1957, 67: 208237.Peele, J. C. Unusual anatomical variations of the sphenoid sinuses. Laryngoscope, St. Louis, 1957, 67: 208–237.

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  • 12.

    Psenner, L. Die Röntgendiagnostik der Nase, der Nassennebenhöhlen und des Epipharynx. In: Handbuch der medizinischen Radiologie. O. Olsson, et al., Ed. Berlin: Springer-Verlag, 1963, 7, pt. 2: 130364 (see p. 174).Psenner, L. Die Röntgendiagnostik der Nase, der Nassennebenhöhlen und des Epipharynx. In: Handbuch der medizinischen Radiologie. O. Olsson, et al., Ed. Berlin: Springer-Verlag, 1963, 7, pt. 2: 130–364 (see p. 174).

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  • 13.

    Van Alyea, O. E. Sphenoid sinus. Anatomic study, with consideration of the clinical significance of the structural characteristics of the sphenoid sinus. Arch. Otolaryng., Chicago, 1941, 34: 225253.Van Alyea, O. E. Sphenoid sinus. Anatomic study, with consideration of the clinical significance of the structural characteristics of the sphenoid sinus. Arch. Otolaryng., Chicago, 1941, 34: 225–253.

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  • 14.

    Zapletal, B. Traumatic nasal liquorea. Sphenoidal fistulae and their surgical treatment. Rozhl. Chir., 1962, 41: 391397.Zapletal, B. Traumatic nasal liquorea. Sphenoidal fistulae and their surgical treatment. Rozhl. Chir., 1962, 41: 391–397.

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