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August 1967

Acute Paranasal Sinusitis and Cavernous Sinus Thrombosis

Author Affiliations

Syosset, Long Island, NY
From the Department of Otolaryngology, Syosset Hospital, Syosset, Long Island, NY.

Arch Otolaryngol. 1967;86(2):205-209. doi:10.1001/archotol.1967.00760050207018

WHILE IN THIS day and age this topic would ordinarily be considered unusual, nevertheless, the gravity of this clinical entity, whenever it does occur,1 demands the utmost of the clinician's comprehension and skill. Therefore, lest complacency supervene, a timely review including a case report may not be entirely amiss.

Anatomy and Pathological Physiology  The cavernous sinus is a composite system of numerous intercommunicating endothelial-lined compartments on both sides of the sella turcica, which functions as a venous blood conduit in that it drains the upper lip, nose, paranasal sinuses, nasopharynx, pharynx, and orbits and channels this blood into the jugular vein by the inferior petrosal sinus and into the lateral sinus by the superior petrosal sinus. These compartments resemble honeycomb cells.By thrombosis is meant intravascular coagulation in any part of the circulatory system. Normally, the blood remains in a fluid condition, owing to some interaction between it and

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