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5490 Anatomy

A 17-year-old female visits the family dermatologist because of severe facial acne. During physical examination it was found that there was a rather obvious and painful lesion on the side of her nose. The patient was given antibiotics and warned not to press or pick at the large, inflamed swelling. If she were to squeeze, prick, or incise such a lesion in the area between the eye and the upper lip, or between the eye and the side of the nose, the infection could spread to the cavernous sinus. Which of the following pathways of spread of infection would be most typical?

ANasal venous tributary to angular vein, to superior ophthalmic vein, then to cavernous sinus
BRetromandibular vein to supraorbital vein, then to inferior ophthalmic vein, then to cavernous sinus
CDorsal nasal vein to superior petrosal vein, then inferior ophthalmic vein to cavernous sinus
DFacial vein to maxillary vein, then middle meningeal vein to cavernous sinus
Anatomy
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