Could transcranial endoscopy represent an alternative to craniotomy in skull base surgery?
| Autor: | Evaristo Belli, Filippo Balestra Marini, Matteini C, Benedetto Longo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2005 |
| Předmět: |
craniofacial tumors
medicine.medical_specialty cadaver cerebrospinal fluid craniofacial malformations craniotomy dura mater endoscopes endoscopy ethmoid bone frontal bone humans methods minimally invasive orbit pituitary gland skull base skull base neoplasms surgery surgical procedures medicine.medical_treatment Cadaver medicine Minimally Invasive Surgical Procedures Craniofacial Craniotomy Surgical approach medicine.diagnostic_test business.industry Settore MED/19 General Medicine Surgery Endoscopy Skull medicine.anatomical_structure Otorhinolaryngology Anterior cranial fossa Skull base surgery Radiology Cerebrospinal Fluid Dura Mater Endoscopes Ethmoid Bone Frontal Bone Humans Orbit Pituitary Gland Skull Base Skull Base Neoplasms business |
| Popis: | Craniofacial malformations and upper third facial tumor surgical management is currently performed by skull base osteotomies to allow skeleton mobilization or tumor removal. Craniotomies and retraction of frontal lobes allow wide exposure of anterior skull base. In the last decades, in keeping with the trend to perform less invasive surgical approaches, several authors reported endoscopic approaches for selected cases of skull base surgery, such as closure of cerebrospinal fluid leaks and transethmoidal and trans-sphenoidal approaches for pituitary surgery. Recent experience with transnasal endoscopic procedures improved both techniques and outcomes and became more common. The authors present a cadaver study of combined transfacial transcranial endoscopic approach to skull base. Such an approach used with minimally invasive surgery principles could represent, in selected cases (both for neoplastic lesions and malformations), an alternative to traditional anterior cranial fossa surgical approaches by wide craniotomies. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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