Evolution and Future of Skull Base Surgery: The Paradigm of Skull Base Meningiomas
| Autor: | Dinesh Ramanathan, Laligam N. Sekhar, Francisco Ponce Guerrero, Salvatore Di Maio, Michael Herbas Rocha, Rabindranath Garcia-Lopez, Manuel Ferreira |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Subspecialty Skull Base Neoplasms Neurosurgical Procedures Meningioma Skull Base Neoplasm Meningeal Neoplasms otorhinolaryngologic diseases medicine Humans Aged Skull Base business.industry Mortality rate Middle Aged Microsurgery medicine.disease Surgery Radiation therapy Skull medicine.anatomical_structure Cavernous sinus Female Neurology (clinical) business Forecasting |
| Zdroj: | World Neurosurgery. 78:260-275 |
| ISSN: | 1878-8750 |
| Popis: | Background Skull base meningiomas represent the paradigm for the evolution of skull base surgery within the past 50 years into a distinct neurosurgical subspecialty. Methods From 2005 to 2011, 117 patients with cranial base meningiomas underwent surgical resection. Extent of resection, histologic grade, complications, functional status, and recurrence-free and overall survival data are presented. Results The summary rate of gross total resection was 53.0%. The surgical complication and mortality rates were 17.9% and 0.9%, respectively. Five-year recurrence-free survival was 88.0% for grade I meningiomas. A total of 90.3% of patients had a Karnofsky performance score ≥80 at last follow-up. Conclusions A large contemporary series of skull base meningiomas is presented. In addition, the evolution of surgical approaches to skull base meningiomas is reviewed, together with the current issues regarding radiation therapy, management of cavernous sinus tumor, oncologic management of atypical and malignant subtypes, molecular genetics, and future therapeutic options. |
| Databáze: | OpenAIRE |
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