Surgical treament of lateral skull base tumours

Abstract Objective The purpose of this article was to determine the impact of employing a telephone clinic for follow-up of patients with stable lateral skull-base tumours. Method An analysis of 1515 patients in the national lateral skull-base service was performed, and 148 patients enrolled in the telephone clinic to date were identified. The length of time that patients waited for results of their follow-up scans and the travel distance saved by patients not having to attend the hospital for their results was determined. Results The mean time from scan to receiving results was 30.5 ± 32 days, 14 days sooner than in the face-to-face group (p = 0.0016). The average round-trip distance travelled by patients to the hospital for results of their scans was 256 ± 131 km. Conclusion The telephone clinic led to a significant reduction in time until patients received their scan results and helped reduce travel distance and clinic numbers in traditional face-to-face clinics.

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Modified midfacial translocation for access to ventral skull base tumours

The Journal of Laryngology & Otology ◽

10.1017/s0022215114001881 ◽

2014 ◽

Vol 128 (9) ◽

pp. 803-809 ◽

Cited By ~ 1

Author(s):

A Hussain ◽

M Shakeel ◽

V Vallamkondu ◽

M Kamel

Keyword(s):

Skull Base ◽

Case Series ◽

Retrospective Chart Review ◽

Wound Dehiscence ◽

Neck Surgery ◽

Royal Infirmary ◽

Aesthetic Outcome ◽

Skull Base Tumours ◽

Lateral Skull Base ◽

The Aesthetic

AbstractObjective:To describe our technical modifications of midfacial translocation for access to the nasopharynx, and anterior, central and lateral skull base.Design:Retrospective chart review of a prospective case series.Setting:Department of Otolaryngology-Head and Neck Surgery, Aberdeen Royal Infirmary, Scotland, UK.Methods:Along with demographics, other parameters studied were adequacy of exposure, completeness of resection, aesthetic outcome and complications. Our main outcome measures included adequacy of exposure, partial or total resection of tumour, aesthetic outcome, and complications related to surgical technique.Results:A total of 48 patients underwent modified midfacial translocation at our institution for nasopharyngeal, parapharyngeal, and anterior, central and lateral skull base tumours. In all cases, the exposure was deemed to be adequate. Two patients developed wound dehiscence in previously irradiated fields. Other incisions healed very well and the aesthetic outcome was regarded as satisfactory.Conclusion:Modified midfacial translocation is based on the principle of temporary craniofacial disassembly for access to the skull base. Our modifications offer adequate access and a better aesthetic outcome. All incisions are placed through the aesthetic sub units of the nose with preservation of the lip. Preservation of the bony piriform aperture prevents airway compromise.

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Malignant skull base tumours

Oxford Textbook of Neurological Surgery ◽

10.1093/med/9780198746706.003.0018 ◽

2019 ◽

pp. 213-220

Author(s):

Adel Helmy ◽

Benedict Panizza

Keyword(s):

Skull Base ◽

Complex Disease ◽

Csf Leak ◽

Soft Tissue Reconstruction ◽

En Bloc ◽

Endoscopic Techniques ◽

Skull Base Tumours ◽

Lateral Skull Base ◽

Tissue Reconstruction ◽

Special Case

Malignant skull base tumours are a rare and diverse group of histological entities that cross the skull base. Their management requires a multidisciplinary approach that aims to achieve microscopically clear margins, dural reconstitution to avoid cerebrospinal fluid (CSF) leak, soft tissue reconstruction and where possible, an en bloc resection. Both traditional craniofacial and more modern endoscopic techniques can be utilized, if the surgical and management goals can be achieved successfully. This is then combined with adjuvant therapy, typically radiotherapy, to maximize prognosis. We discuss both anterior and lateral skull base tumours as well as consider the special case of perineural spread as an example of complex disease at the skull base.

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