Combined simultaneous multiportal approach (CSMA) via minimally invasive transciliary and endoscopic endonasal approaches for tumors invading both the skull base and the sinonasal area.


BACKGROUND:For a long time, a combined transcranial and transfacial approach was the gold standard in the aspect of surgical management of large tumors with sinonasal and skull base involvement. The extended endoscopic endonasal approach for such pathologies has its advantages, but flaws as well, such as anatomical limitations, more ponderous skull base reconstruction, thus higher risk of postoperative complications. Our primarily used technique for the surgical treatment of these pathologies has been the combination of transfacial and minimally invasive transciliary supraorbital keyhole approaches. With the aim to further minimize invasivity, potential complications and unsatisfactory esthetic outcomes during the surgical treatment of large tumors invading both the sinonasal area and the skull base, the transfacial approach was left behind and the transciliary supraorbital keyhole approach was simultaneously combined with the endoscopic endonasal approach. METHODS:The well-known microscope assisted minimally invasive approach via transciliary supraorbital keyhole craniotomy was combined with the endoscopic endonasal approach. RESULTS:This manuscript involves 6 cases with different histological types of tumors affecting the sinonasal area and the skull base as well. The mean operative time was 3 hours, none of the patients had unexpected intraoperative, or postoperative complications and we could achieve total tumor removal in each case. None of the patients had complaints associated with the surgery during the follow-ups. CONCLUSION:Our combined simultaneous multiportal approach enables total tumor eradication with reduced operative time, and it is associated with low measures of intraoperative and postoperative complications, low mortality rate and excellent cosmetic results.


World Neurosurg


World neurosurgery


Fischer-Szatmári T,Fülöp B,Szakács L,Gyura E,Bella Z,Barzó P




Has Abstract


2021-01-05 00:00:00








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    abstract:OBJECTIVE:To evaluate effect of obesity on 12-month functional outcomes after surgery for lumbar stenosis in adult patients. METHODS:Data were collected on patients treated with lumbar laminectomy for symptomatic lumbar spinal stenosis as part of an observational registry and analyzed using a retrospective cohort stud...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Elsayed G,Davis MC,Dupépé EC,McClugage SG,Szerlip P,Walters BC,Hadley MN

    更新日期:2017-09-01 00:00:00

  • Decompression for Traumatic Thoracic/Thoracolumbar Incomplete Spinal Cord Injury: Application of AO Spine Injury Classification System to Identify the Timing of Operation.

    abstract:OBJECTIVE:Application of AO spine injury classification system (AOSICS) to identify the timing of operation for different types of traumatic thoracic/thoracolumbar incomplete spinal cord injury (SCI). METHODS:A single-center prospective cohort study was conducted to enroll patients with thoracic/thoracolumbar incomple...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Du JP,Fan Y,Liu JJ,Zhang JN,Meng YB,Mu CC,Hao DJ

    更新日期:2018-08-01 00:00:00

  • Utility of Posterior Longitudinal Ligament Resection During Anterior Cervical Decompression for Radiculopathy.

    abstract:BACKGROUND:Anterior cervical diskectomy and fusion (ACDF) is the main surgical treatment of cervical radiculopathy. Controversy exists about the need to resect the posterior longitudinal ligament (PLL) to directly decompress the nerve roots, or if it is sufficient to indirectly decompress with diskectomy and graft plac...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Lubelski D,Ramhmdani S,Pennington Z,Theodore N,Bydon A

    更新日期:2020-05-01 00:00:00

  • Minimally Invasive Lateral Retropleural Approach to the Thoracic Spine for Salvage of a Subsided Expandable Interbody Cage.

    abstract:BACKGROUND:Cylindrical expandable cages are commonly used as interbody grafts after cervical, thoracic, or lumbar corpectomy in patients with osteomyelitis. Unfortunately, there is a high incidence of hardware subsidence due to small-diameter footplates. Newer expandable intervertebral cages with large rectangular endc...

    journal_title:World neurosurgery



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    更新日期:2020-03-01 00:00:00

  • Intraspinal Pressure Monitoring and Extensive Duroplasty in the Acute Phase of Traumatic Spinal Cord Injury: A Systematic Review.

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    journal_title:World neurosurgery

    pub_type: 杂志文章,评审


    authors: Tykocki T,Poniatowski Ł,Czyż M,Koziara M,Wynne-Jones G

    更新日期:2017-09-01 00:00:00

  • Communication in Neurosurgery-The Tower of Babel.

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    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Hartley BR,Hong C,Elowitz E

    更新日期:2020-01-01 00:00:00

  • Safety and Efficacy of Syringoperitoneal Shunting with a Programmable Shunt Valve for Syringomyelia Associated with Extensive Spinal Adhesive Arachnoiditis: Technical Note.

    abstract:OBJECTIVE:Although syringomyelia associated with extensive spinal adhesive arachnoiditis (SAA) can be a progressive disease that has potentially devastating clinical consequences, its surgical resolution has remained poorly defined. The aim of the present study was to verify the safety and efficacy of syringoperitoneal...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Naito K,Yamagata T,Ohata K,Takami T

    更新日期:2019-12-01 00:00:00

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    abstract:BACKGROUND:The use of a 3-throw knot for anastomosis by microvascular neurosurgeons is the usual standard. There is an inherent belief that the third throw adds extra security to the knot; however, the third throw can make the knot heavy and unbalanced and can exert undue extra pressure on the opposing walls of the sma...

    journal_title:World neurosurgery

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    authors: Pruthi N,Tyagi G,Gohil D

    更新日期:2020-12-22 00:00:00

  • Intracanal Optic Nerve Cavernous Hemangioma: A Case Report and Review of the Literature.

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    journal_title:World neurosurgery

    pub_type: 杂志文章,评审


    authors: Algoet M,Van Dyck-Lippens PJ,Casselman J,Sirimsi S,Fletcher CDM,Van Den Berghe I,Vanopdenbosch L,De Muynck S,Vantomme N

    更新日期:2019-06-01 00:00:00

  • Higher Mean Arterial Pressure Values Correlate with Neurologic Improvement in Patients with Initially Complete Spinal Cord Injuries.

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    journal_title:World neurosurgery

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    authors: Catapano JS,John Hawryluk GW,Whetstone W,Saigal R,Ferguson A,Talbott J,Bresnahan J,Dhall S,Pan J,Beattie M,Manley G

    更新日期:2016-12-01 00:00:00

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    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Jacquesson T,Cotton F,Frindel C

    更新日期:2018-09-01 00:00:00

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    abstract::This case video demonstrates the surgical technique for resection of a cavernous malformation in the midleft cingulate gyrus using a contralateral transcingulate approach (Video 1). The indications for operating on a cavernoma such as this are seizures, recurrent hemorrhages, and a surgically resectable target. This v...

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    更新日期:2019-09-01 00:00:00

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    journal_title:World neurosurgery

    pub_type: 杂志文章


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    更新日期:2011-03-01 00:00:00

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    abstract:OBJECTIVE:Tumors of the jugular foramen are notably rare, and the majority of them arise from the glomic tissue of the jugular vein. There are other tumors that do not originate from that tissue, and these are called the nonglomic tumors. This report includes a series of patients with nonglomic tumors of the jugular fo...

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    pub_type: 杂志文章


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    更新日期:2014-12-01 00:00:00

  • Surgical Robot-Enhanced Implantation of Intracranial Depth Electrodes for Single Neuron Recording Studies in Patients with Medically Refractory Epilepsy: A Technical Note.

    abstract:OBJECTIVE:Single neuron or unit recording enables researchers to measure the electrophysiologic responses of single neurons using a microelectrode system. This approach is widely used in cognitive science and has become more widespread in humans with the use of hybrid (micro-within-macrowire) depth electrodes that enab...

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    journal_title:World neurosurgery

    pub_type: 杂志文章


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    journal_title:World neurosurgery

    pub_type: 杂志文章


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    更新日期:2019-05-01 00:00:00

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    journal_title:World neurosurgery

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    更新日期:2019-03-01 00:00:00

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    journal_title:World neurosurgery

    pub_type: 杂志文章,随机对照试验


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    pub_type: 杂志文章


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    journal_title:World neurosurgery

    pub_type: 杂志文章,评审


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    journal_title:World neurosurgery

    pub_type: 杂志文章


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