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we will be discussing in detail about keratico cavernous fishless in this lecture so first let us look at the headings in which we will be discussing the stock well define what ccf is well understand the anatomy of the cavernous sinus then well go into etiology and the cal and the classification of ccf then once we understand the pathophysiology then it will be easy for us to understand the symptoms then how do we evaluate a patient with a ccf what are the treatments and the indications for treatment what is the post-treatment follow-up and what is the conclusion now how do we define ccf so technically keratoconus fistula is an abnormal communication that exists between the cavernous sinus and the carotid system so we know that the cavity sinus surrounds the carotid artery in the segment just before it becomes intracranial and thus any injury to the carotid artery here will induce a direct communication and also we know that there are dual fish class also which can arise in this re
