Transorbital Approaches: Minimally Invasive Access to the Anterior Skull Base

2016 ◽  
pp. 62-62 ◽  
Author(s):  
Holger Gassner ◽  
Franziska Schwan ◽  
Karl-Michael Schebesch
Keyword(s):  
Minimally Invasive ◽  
Skull Base ◽  
Anterior Skull Base ◽  
Minimally Invasive Access

Frontal Sinus Window for Minimally Invasive Access to the Frontal Sinus and Anterior Skull Base

2012 ◽  
Vol 73 (S 01) ◽  
Author(s):  
Bradley Otto ◽  
Ricardo Carrau ◽  
Daniel Prevedello ◽  
Matthew Old ◽  
Danielle Lara ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Skull Base ◽  
Frontal Sinus ◽  
Anterior Skull Base ◽  
Minimally Invasive Access

A minimally invasive anterior skull base approach for evacuation of a basal ganglia hemorrhage

2015 ◽  
Vol 22 (11) ◽  
pp. 1816-1819 ◽  
Author(s):  
Dale Ding ◽  
Colin J. Przybylowski ◽  
Robert M. Starke ◽  
R. Sterling Street ◽  
Amber E. Tyree ◽  
...  
Keyword(s):  
Basal Ganglia ◽  
Minimally Invasive ◽  
Skull Base ◽  
Anterior Skull Base ◽  
Base Approach ◽  
Skull Base Approach ◽  
Basal Ganglia Hemorrhage

scholarly journals Minimálisan invazív, endoszkóppal asszisztált, transcribriform reszekció a koponyaalap rosszindulatú daganatainak sebészetében

2019 ◽  
Vol 160 (40) ◽  
pp. 1584-1590
Author(s):  
Zalán Piski ◽  
András Büki ◽  
Imre Gerlinger ◽  
István Tóth ◽  
Nelli Nepp ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Skull Base ◽  
Intraoperative Complications ◽  
Anterior Skull Base ◽  
Open Approach ◽  
Malignant Tumours ◽  
Recurrent Tumour ◽  
Intestinal Type Adenocarcinoma ◽  
The Mean

Abstract: Introduction: Malignant tumours of the sinonasal region – including those with invasion of the skull base – necessitate surgical resection. The majority of the cases give an opportunity to perform the procedure via minimally invasive, endoscopic approach, without external, craniofacial surgery. Aim: To assess our clinical experience in treating anterior skull base malignancies, performing minimally invasive endoscopic transcribriform resection. Method: Between February 2015 and July 2017, four male and one female patient underwent minimally invasive, endoscopic skull base procedure. The mean age was 64.6 years (59–70, median: 66). Every surgery was performed via transnasal, endoscopic transcribriform approach. In two cases Kadish C esthesioneuroblastomas, while in one case a T3N0 sinonasal non-differentiated carcinoma, a T1N0 intestinal type adenocarcinoma and a T4N0 squamous cell carcinoma was the indication of surgery, respectively. Results: The mean follow-up time was 22.8 months, between 14 and 46 months. Intraoperative complications did not occur during the procedures. Regarding the postoperative period, liquorrhoea and pneumocephalus occurred in one case. Complications were solved with lumbar drainage. During follow-up, neither residual nor recurrent tumour was observed in our patients. Conclusion: Endoscopic transcribriform resection of the skull base malignancies is a safe and viable alternative to the traditional open approach. Orv Hetil. 2019; 160(40): 1584–1590.

Outcomes of minimally invasive endoscopic resection of anterior skull base neoplasms

2009 ◽  
Vol 120 (1) ◽  
pp. 9-16 ◽  
Author(s):  
Pete S. Batra ◽  
Amber Luong ◽  
Seth J. Kanowitz ◽  
Burak Sade ◽  
Joung Lee ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Skull Base ◽  
Endoscopic Resection ◽  
Anterior Skull Base ◽  
Skull Base Neoplasms

scholarly journals Osseous Repair in Minimally Invasive Reconstruction of Anterior Skull Base Defects

2017 ◽  
Vol 28 (1) ◽  
pp. 36-39 ◽  
Author(s):  
Vijay R. Ramakrishnan ◽  
Adam M. Terella ◽  
Seerat Poonia ◽  
Alexander G. Chiu ◽  
James N. Palmer
Keyword(s):  
Minimally Invasive ◽  
Skull Base ◽  
Anterior Skull Base ◽  
Skull Base Defects

scholarly journals Single surgeon experience with minimally invasive supraorbital craniotomy versus bifrontal craniotomy for anterior skull base meningiomas

2020 ◽  
Vol 11 ◽  
pp. 458
Author(s):  
Scott Christopher Seaman ◽  
Muhammad Salman Ali ◽  
Anthony Marincovich ◽  
Carlos Osorno-Cruz ◽  
Jeremy D. W. Greenlee
Keyword(s):  
Minimally Invasive ◽  
Skull Base ◽  
Statistical Significance ◽  
Extent Of Resection ◽  
Anterior Skull Base ◽  
Presenting Symptoms ◽  
Surgeon Experience ◽  
Transcranial Approach ◽  
Skull Base Meningiomas ◽  
Supraorbital Craniotomy

Background: Anterior skull base meningiomas (ASBMs) account for about 10% of meningiomas. Bifrontal craniotomy (BFC) represents the traditional transcranial approach to accessing meningiomas in these locations. Supraorbital craniotomy (SOC) provides a minimally invasive subfrontal corridor in select patients. Here, we present our series of ASBM accessed by SOC and BFC by a single surgeon to review decision-making and compare outcomes in both techniques. Methods: Thirty-three patients were identified with ASBM. Age, tumor characteristics, presenting symptoms, postoperative complications, and outcomes were analyzed. Results: Bifrontal and SOC were performed in 13 and 20 patients, respectively. Mean follow-up time was 98.4 months. Patients undergoing SOC had smaller tumor size, located farther from the posterior table of frontal sinus, had less peritumoral edema, and decreased length of stay compared to patients undergoing BFC. Extent of resection was slightly better with BFC (99.8%) compared to SOC (91.8%), although this difference did not reach statistical significance. Recurrence-free survival and rate of re-do surgeries were not different between two groups. BFC was associated with higher rates of postoperative encephalomalacia. Conclusion: SOC provides an excellent surgical option for ASBMs providing comparable extent of resection, minimal manipulation of brain, and excellent cosmetic outcomes for patients. The patient selection is key to maximize the benefits from this approach.

scholarly journals Endoscopic supraorbital eyebrow approach for the surgical treatment of extraaxialand intraaxial tumors

2014 ◽  
Vol 37 (4) ◽  
pp. E20 ◽  
Author(s):  
Roberto Gazzeri ◽  
Yuya Nishiyama ◽  
Charles Teo ◽  
Keyword(s):  
Minimally Invasive ◽  
Hospital Stay ◽  
Skull Base ◽  
Anterior Skull Base ◽  
Neurological Deficits ◽  
Direct Result ◽  
Invasive Technique ◽  
Invasive Approach ◽  
Cosmetic Results ◽  
Soft Tissue Dissection

Object The supraorbital eyebrow approach is a minimally invasive technique that offers wide access to the anterior skull base region and parasellar area through asubfrontal corridor. The use of neuroendoscopy allows one to extend the approach further to the pituitary fossa, the anterior third ventricle, the interpeduncular cistern, the anterior and medial temporal lobe, and the middle fossa. The supraorbital approach involves a limited skin incision, with minimal soft-tissue dissection and a small craniotomy, thus carrying relatively low approach-related morbidity. Methods All consecutive patients who underwent the endoscopic supraorbital eyebrow approach were retrospectively analyzed for lesion location, pathology, length of stay, complications, and cosmetic results. Results During a 56-month period, 97 patients (mean age 58.5 years) underwent an endoscopic eyebrow approach to resect extra- and intraaxial brain lesions. The most common pathologies treated were meningiomas (n = 41); craniopharyngiomas (n = 22); dermoid tumors (n = 7); metastases (n = 4); gliomas (n = 3); and other miscellaneous frontal, parasellar, and midbrain (n = 23) lesions. The median length of postoperative hospital stay was 2.7 days (range 1–8 days). In 82 patients a total removal of the lesion was performed, while in 15 patients a near-total or subtotal removal was achieved. There were no postoperative hematomas, cerebrospinal fluid leaks, or severe neurological deficits, with the exception of 2 cases of visual deterioration and 1 case each of meningitis, stroke, and third cranial nerve paresis. Other complications directly related to the approach included 2 cases of skin burn as a direct result of heat transmission from the microscope light, 1 case of right frontal palsy, 2 cases of frontal numbness, and 1 case of bone remodeling 1 year after surgery. Conclusions The endoscopic supraorbital eyebrow approach is a safe and effective minimally invasive approach to remove extra- and intraaxial anterior skull base, parasellar, and frontal lesions, promoting a rapid recovery and short hospital stay. The location of the eyebrow incision demands a meticulous cosmetic closure, but, with proper technique, cosmetic results are excellent.

Vascularized Pericranial Flap for Endonasal Anterior Skull Base Reconstruction

2021 ◽  
Author(s):  
Jonathan Giurintano ◽  
Michael W. McDermott ◽  
Ivan H. El-Sayed
Keyword(s):  
Minimally Invasive ◽  
Skull Base ◽  
San Francisco ◽  
Middle Turbinate ◽  
Cranial Base ◽  
Anterior Skull Base ◽  
Craniofacial Resection ◽  
Skull Base Reconstruction ◽  
Pericranial Flap ◽  
Anterior Cranial Base

Abstract Importance As the limits of advanced skull base malignancies that can be managed through an endoscopic endonasal approach continue to be expanded, the resultant anterior skull base defects are of increasing size and complexity. In the absence of nasoseptal or turbinate flaps, the vascularized pericranial flap has been employed at our institution with excellent results. Objective The study aimed to review the outcomes of patients who underwent endonasal anterior craniofacial resection with anterior skull base reconstruction using a vascularized pericranial flap. Design Retrospective chart review of patients treated by the University of California – San Francisco minimally invasive skull base service from the years 2011 to 2017. Average duration of follow-up was 16.4 months. Setting This study was conducted at Academic tertiary referral center. Participants A total of nine patients with advanced anterior cranial base malignancies were identified who were treated with a minimally invasive, endoscopic anterior craniofacial resection from the years 2011 to 2017. Due to the nature of the resection in these patients, nasoseptal flaps and inferior/middle turbinate flaps were unavailable or insufficient for anterior skull base defect repair. Each patient underwent reconstruction of the anterior cranial base defect using an anteriorly based pericranial flap harvested by bicoronal incision, and tunneled anteriorly to the nasal cavity through a frontoethmoidal incision.

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