scholarly journals Endoscopic-assisted Craniofacial Resection

2011 ◽  
Vol 3 (3) ◽  
pp. 156-160
Author(s):  
Aliasgar Moiyadi ◽  
Deepa Nair ◽  
Prathamesh S Pai
Keyword(s):  
Skull Base ◽  
Tumor Resection ◽  
Additional Treatment ◽  
Anterior Skull Base ◽  
Skull Base Tumors ◽  
Craniofacial Resection ◽  
Endoscopic Endonasal ◽  
The Past ◽  
Select Group ◽  
Sinonasal Tumor

ABSTRACT Management of anterior skull base tumors has progressed steadily since AS Ketcham popularized the craniofacial surgical technique in the seventies with good results. In the past two decades, endoscopic sinonasal tumor resection has been established as an additional treatment option. For tumors that cross the anterior skull base, a cranial access is vital to encompass the tumor all around. For a select group of these transcranial lesions, the sinonasal component is suitable for an endoscopic endonasal oncologically safe resection along with a traditional transcranial access to complete the resection. This article endeavors to describe the endoscopicassisted craniofacial combining the advantages of a transnasal minimal access to reduce facial morbidity and the transcranial access for superior control of tumors with adequate margins.

Endoscopic Margins of Skull-base Tumors: Oncologically Safe?

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P37-P37
Author(s):  
Marc A. Cohen ◽  
Jonathan Liang ◽  
Bert W O'Malley ◽  
Jason G Newman
Keyword(s):  
Skull Base ◽  
Office Visit ◽  
Anterior Skull Base ◽  
Resection Margins ◽  
Skull Base Tumors ◽  
Recurrence Rates ◽  
Craniofacial Resection ◽  
Positive Margins ◽  
Increased Risk ◽  
Base Lesion

Objective 1) Learn if margins of resection in anterior skull base tumors that are entirely or endoscopic-assisted are comparable with those undergoing traditional craniofacial resection. 2) Understand if there is a difference in patient mortality with traditional CFR compared to endoscopic-assisted surgery. Methods Retrospective review was conducted of patients undergoing surgery at our institution for malignant lesions of the anterior skull base between 2000–2006. 46 patients were identified. 20 underwent endoscopic-assisted or total endoscopic resection. Margins were evaluated by the pathologist. Recurrence rates were calculated based on the presence or absence of recurrence at the last office visit. Follow-up times ranged from 1 month to 5 years. Results Of the 20 patients undergoing endoscopic or endoscopic assisted CFR of anterior skull base lesions, 15/20 patients had negative margins (75%), 4/20 had positive margins (20%), and 1/20 had close margins (5%). In those patients undergoing traditional CFR, 17/26 patients had negative margins (65%), 8/26 had positive margins (30%), and 1/26 (4%) had close margins. Recurrence was noted in 9/26 (35%) of those who underwent traditional CFR and 6/20 (30%) of those with endoscopic assistance. Conclusions There does not appear to be increased risk of positive margins or recurrence in those undergoing endscopic or endoscopic-assisted resection. Endoscopy may aid in identifying margins of tumor in the anterior skull base, leading to a greater likelihood of cure. Endoscopic resections have the potential to avoid morbity and should be considered oncologically sound in the appropriate patient with a skull base lesion.

Combined craniofacial resection of anterior skull base tumors: long-term results and experience of single institution

2010 ◽  
Vol 34 (1) ◽  
pp. 101-113 ◽  
Author(s):  
Bashar Abuzayed ◽  
Bulent Canbaz ◽  
Galip Zihni Sanus ◽  
Seckin Aydin ◽  
Harun Cansiz
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Long Term Results ◽  
Skull Base Tumors ◽  
Single Institution ◽  
Craniofacial Resection

CRANIOFACIAL RESECTION FOR ANTERIOR SKULL BASE TUMORS

1988 ◽  
Vol 10 (4) ◽  
pp. 219-224 ◽  
Author(s):  
Narayan Sundaresan ◽  
Jatin P. Shah
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Skull Base Tumors ◽  
Craniofacial Resection

Anterior Skull Base Meningioma: Surgical approach and complication avoidance

2022 ◽  
Author(s):  
Bhawan Nangarwal ◽  
Jaskaran Singh Gosal ◽  
Kuntal Kanti Das ◽  
Deepak Khatri ◽  
Kamlesh Singh Bhaisora ◽  
...  
Keyword(s):  
Skull Base ◽  
Tumor Resection ◽  
Vascular Complications ◽  
Good Alternative ◽  
Anterior Skull Base ◽  
Csf Leak ◽  
Medical Complication ◽  
Endoscopic Endonasal ◽  
Olfactory Groove ◽  
Skull Base Meningioma

Background: Endoscopic endonasal approach (EEA) and keyhole transcranial approaches are being increasingly used in anterior skull base meningioma (ASBM) surgery. Objective: We compare tumor resection rates and complication profiles of EEA and supraorbital key hole approach (SOKHA) against conventional transcranial approaches (TCA). Methods: Fifty-four patients with ASBM [olfactory groove (OGM), n=19 and planum sphenoidale/tuberculum sellae (PS/TSM), n=35) operated at a single centre over 7 years were retrospectively analyzed. Results: The overall rate of GTR was higher in OGM (15/19, 78.9%) than PS-TSM group (23/35, 65.7%, p=0.37). GTR rate with OGM was 90% and 75% with TCA and EEA. Death (n=1) following medical complication (TCA) and CSF leak requiring re-exploration (n=2, one each in TCA and EEA) accounted for the major complications in OGM. For the PS/TSM group, the GTR rates were 73.3% (n=11/15), 53.8% (n=7/13) and 71.4% (n=5/7) with TCA, EEA and SOKHA respectively. Seven patients (20%) of PS-TSM developed major postoperative complications including 4 deaths (one each in TCA, SOKHA and 2 in EEA group) and 3 visual deteriorations. Direct and indirect vascular complications were common in lesser invasive approaches to PS-TSM especially if the tumor has encased intracranial arteries. Conclusions: No single approach is applicable to all ASBMs. TCA is still the best approach to obtain GTR but has tissue trauma related problems. SOKHA may be a good alternative to TCA in selected PS-TSMs while EEA may be an alternate option in some OGMs. A meticulous patient selection is needed to derive reported results of EEA for PS-TSM.

scholarly journals Neurilemmoma of fronto-ethmoid paranasal sinuses: aggressive anterior skull base destructing tumor—a case report

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Jamal Jawad ◽  
Rawan Mandura ◽  
Hatem Alhatem
Keyword(s):  
Skull Base ◽  
Tumor Resection ◽  
Neck Region ◽  
Postoperative Recovery ◽  
Anterior Skull Base ◽  
The Body ◽  
Autonomic Nerves ◽  
Endoscopic Endonasal ◽  
Orbital Wall ◽  
Sinus Drainage

Abstract Neurilemmomas (Schwannomas) of sinonasal tract are very unusual. They are benign, slow-growing, usually solitary encapsulated perineural tumors. They arise from Schwann cells of the neural sheath of the peripheral nervous system including motor, sensory and autonomic nerves. They can occur throughout the body, but the head and neck region demonstrate a higher incidence of occurrence (25–45%). The sinonasal region, however, has the lowest incidence rate with only 3–4%. We report here a rare case of fronto-ethmoid sinus neurilemmoma that is locally destructing the anterior skull base and the lateral orbital wall. A left eye proptosis, diplopia and chemosis were the presenting complaints. Images and histopathology examinations confirmed the diagnosis. The patient underwent tumor resection through Endoscopic Endonasal approach, followed by a functional sinus drainage of the retained secretions. The patient made a good postoperative recovery and remained disease free at a 1-year follow up period.

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