ICAR: endoscopic skull-base surgery.

Autor: Wang EW; University of Pittsburgh, Pittsburgh, PA., Zanation AM; University of North Carolina, Chapel Hill, NC., Gardner PA; University of Pittsburgh, Pittsburgh, PA., Schwartz TH; Weill Cornell, New York, NY., Eloy JA; Rutgers University, Newark, NJ., Adappa ND; University of Pennsylvania, Philadelphia, PA., Bettag M; Hospital of Barmherzigen Brueder, Wien, Germany., Bleier BS; Harvard University, Boston, MA., Cappabianca P; University of Naples, Naples, Italy., Carrau RL; Ohio State University, Columbus, OH., Casiano RR; University of Miami, Miami, FL., Cavallo LM; University of Naples, Naples, Italy., Ebert CS Jr; University of North Carolina, Chapel Hill, NC., El-Sayed IH; University of California San Francisco, San Francisco, CA., Evans JJ; Jefferson University, Philadelphia, PA., Fernandez-Miranda JC; Stanford University, Stanford, CA., Folbe AJ; Michigan Sinus and Skull Base Institute, Royal Oak, MI., Froelich S; Lariboisiere University, Paris, France., Gentili F; University of Toronto, Toronto, Canada., Harvey RJ; University of Toronto, Toronto, Canada.; University of New South Wales, Sydney, Australia., Hwang PH; Stanford University, Stanford, CA., Jane JA Jr; University of Virginia, Charlottesville, VA., Kelly DF; Pacific Neuroscience Institute, Santa Monica, CA., Kennedy D; University of Pennsylvania, Philadelphia, PA., Knosp E; Medical University of Vienna, Vienna, Austria., Lal D; Mayo Clinic, Scottsdale, AZ., Lee JYK; University of Pennsylvania, Philadelphia, PA., Liu JK; Rutgers University, Newark, NJ., Lund VJ; University College London, London, United Kingdom., Palmer JN; University of Pennsylvania, Philadelphia, PA., Prevedello DM; Ohio State University, Columbus, OH., Schlosser RJ; Medical University of South Carolina, Charleston, SC., Sindwani R; Cleveland Clinic, Cleveland, OH., Solares CA; Emory University, Atlanta, GA., Tabaee A; Weill Cornell, New York, NY., Teo C; Prince of Wales Hospital, Randwick, Australia., Thirumala PD; University of Pittsburgh, Pittsburgh, PA., Thorp BD; University of North Carolina, Chapel Hill, NC., de Arnaldo Silva Vellutini E; University of Sao Paulo, Sao Paulo, Brazil., Witterick I; University of Toronto, Toronto, Canada., Woodworth BA; University of Alabama Birmingham, Birmingham, AL., Wormald PJ; Adelaide and Flinders Universities, Adelaide, Australia., Snyderman CH; University of Pittsburgh, Pittsburgh, PA.
Jazyk: angličtina
Zdroj: International forum of allergy & rhinology [Int Forum Allergy Rhinol] 2019 Jul; Vol. 9 (S3), pp. S145-S365.
DOI: 10.1002/alr.22326
Abstrakt: Background: Endoscopic skull-base surgery (ESBS) is employed in the management of diverse skull-base pathologies. Paralleling the increased utilization of ESBS, the literature in this field has expanded rapidly. However, the rarity of these diseases, the inherent challenges of surgical studies, and the continued learning curve in ESBS have resulted in significant variability in the quality of the literature. To consolidate and critically appraise the available literature, experts in skull-base surgery have produced the International Consensus Statement on Endoscopic Skull-Base Surgery (ICAR:ESBS).
Methods: Using previously described methodology, topics spanning the breadth of ESBS were identified and assigned a literature review, evidence-based review or evidence-based review with recommendations format. Subsequently, each topic was written and then reviewed by skull-base surgeons in both neurosurgery and otolaryngology. Following this iterative review process, the ICAR:ESBS document was synthesized and reviewed by all authors for consensus.
Results: The ICAR:ESBS document addresses the role of ESBS in primary cerebrospinal fluid (CSF) rhinorrhea, intradural tumors, benign skull-base and orbital pathology, sinonasal malignancies, and clival lesions. Additionally, specific challenges in ESBS including endoscopic reconstruction and complication management were evaluated.
Conclusion: A critical review of the literature in ESBS demonstrates at least the equivalency of ESBS with alternative approaches in pathologies such as CSF rhinorrhea and pituitary adenoma as well as improved reconstructive techniques in reducing CSF leaks. Evidence-based recommendations are limited in other pathologies and these significant knowledge gaps call upon the skull-base community to embrace these opportunities and collaboratively address these shortcomings.
(© 2019 ARS-AAOA, LLC.)
Databáze: MEDLINE
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