Endoscopic Surgery in the Skull Base Unit: Experience in the First 72 Cases
| Autor: | J. Molet-Teixidó, Anna Aulinas-Masó, Humbert Massegur-Solench, Joan R. Montserrat-Gili, Fernando Muñoz-Hernández, Susan M. Webb, Manuel de Juan-Delago, Miquel Quer-Agustí, Juan R. Gras-Cabrerizo, Pere Tresserras-Ribo, Beatriz Martín-Huerta |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Inverted papilloma Endoscopic surgery Multidisciplinary team Young Adult Pituitary adenoma medicine Humans In patient Major complication Aged Aged 80 and over Skull Base Cerebrospinal fluid leak business.industry Endoscopy General Medicine Middle Aged medicine.disease Otorhinolaryngologic Surgical Procedures Surgery Skull medicine.anatomical_structure Female business |
| Zdroj: | Acta Otorrinolaringologica (English Edition). 64:169-175 |
| ISSN: | 2173-5735 |
| DOI: | 10.1016/j.otoeng.2013.06.012 |
| Popis: | Introduction A multidisciplinary team is essential to develop and expand the indications in endonasal endoscopic skull base surgery. The aim of this study was to present our experience in a group of patients with skull base lesions treated using endonasal endoscopic approach. Methods From January 2008 to January 2012, 72 patients with skull base involvement were diagnosed and treated in our centre. Results The mean patient age was 53 years. The different pathologies included 36 pituitary adenomas, 10 cerebrospinal fluid leaks and 5 inverted papillomas as the most frequent pathologies. We performed a transsphenoidal transellar approach in 45 cases, a transmaxillary transpterygoid approach in 4 cases and a transnasal expanded approach in 6 cases. We performed an ethmoidal/sphenoidal approach in 12 patients and a Draf IIb/III procedure in four cases. Total resection was achieved in 61% of patients with pituitary adenomas, subtotal in 22% and partial in 17%. Successful repair was achieved in 86% of CSF leaks. No recurrences were observed in patients with inverted papilloma. Complications were observed in 21 patients (29%), 6 being major complications. Conclusions Our centre stresses the importance of multidisciplinary collaboration in endoscopic endonasal skull base surgery. |
| Databáze: | OpenAIRE |
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