Extended endoscopic endonasal skull base surgery: from the sella to the anterior and posterior cranial fossa.

Abstract:

:Skull base surgery has gone through significant changes with the development of extended endoscopic endonasal approaches over the last decade. Initially used for the transphenoidal removal of hypophyseal adenomas, the endoscopic transnasal approach gradually evolved into a way of accessing the whole ventral skull base. Improved visualization, avoidance of brain retraction, the ability to access directly tumours with minimal damage to critical neurosurgical structures as well lack of external scars are among its obvious benefits. However, it presents the surgeons with a number of challenges, including the need to deal endoscopically with potential arterial bleeding, complicated reconstruction requirements as well as the need for a true team approach. In this review drawing from our experience as well as published series, we present an overview of current indications, challenges and limitations of the expanded endonasal approaches to the skull base.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Oostra A,van Furth W,Georgalas C

doi

10.1111/j.1445-2197.2011.05971.x

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

122-30

issue

3

eissn

1445-1433

issn

1445-2197

journal_volume

82

pub_type

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