Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-28T04:43:42.175Z Has data issue: false hasContentIssue false

Chapter 5 - Combined Endoscopic Endonasal and Transcranial Approach to Complex Intracranial Lesions

from Section I - Endoscopic Endonasal (EN) Combined Approaches

Published online by Cambridge University Press:  05 October 2021

By
Mohammed Nuru ,
Ankush Chandra  and
Manish K. Aghi
Edited by
Vijay Agarwal
Get access

Summary

One of the most common combined approaches to skull base tumors includes a transcranial and endoscopic endonasal approach to the anterior and central skull base. Independently these are two common operative procedures employed in the modern treatment of skull base lesions, and have been favored over other historical approaches such as craniofacial, transfacial, and midface degloving due to decreased morbidity and mortality. When these approaches are combined, they add a new solution to the neurosurgeon’s armamentarium, providing a relatively minimally invasive approach with maximal resection in indicated complex lesions.

Keywords

combined approachtranscranialendoscopic endonasalminimally invasive surgery
Type
Chapter
Information
Integrated Management of Complex Intracranial Lesions
Open, Endoscopic, and Keyhole Techniques
 , pp. 35 - 50
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Patel, SG, et al., Craniofacial surgery for malignant skull base tumors: report of an international collaborative study. Cancer, 2003. 98(6): p. 1179–87.CrossRefGoogle ScholarPubMed
Omar, A., Andrew, TP, and Gavin, WB., Basic Principles of Skull Base Surgery. 2017: p. 955–5.Google Scholar
Aryan, HE, et al., Subfrontal transbasal approach and technique for resection of craniopharyngioma. Neurosurg Focus, 2005. 18(6a): p. E10.CrossRefGoogle ScholarPubMed
Feiz-Erfan, I., et al., Proposed classification for the transbasal approach and its modifications. Skull Base, 2008. 18(1): p. 29–47.CrossRefGoogle ScholarPubMed
Cohen, Michael A., Jean A. Eloy, James K. Liu, Midline subfrontal approaches: the transbasal approach and extended modifications to access the clivus, in Chordomas and Chondrosarcomas of the Skull Base and Spine. 2017, Elsevier, p. 131–40.Google Scholar
Yasargil, MG, and Abdulrauf, S.I., Surgery of intraventricular tumors. Neurosurgery, 2008. 62(6 Suppl 3): p. 1029–40; discussion 1040–1.Google Scholar
Delfini, R., and Pichierri, A., Transcallosal approaches to intraventricular tumors, in Cranial, Craniofacial and Skull Base Surgery, Cappabianca, P., Iaconetta, G., and Califano, L., eds. 2010, Springer, p. 87–105.Google Scholar
Seckin, H., et al., The work horse of skull base surgery: orbitozygomatic approach. Technique, modifications, and applications. Neurosurg Focus, 2008. 25(6): p. E4.Google Scholar
Fernando Gonzalez, L., et al., Skull base approaches to the basilar artery. Neurosurgical Focus, 2005. 19(2): p. 1–12.CrossRefGoogle Scholar
Ciappetta, P., and D’Urso, PI, Subtemporal Approach, in Cranial, Craniofacial and Skull Base Surgery, Cappabianca, P., Iaconetta, G., and Califano, L., eds. 2010, Springer, p. 107–36.Google Scholar
Aziz, KM, et al., The Kawase approach to retrosellar and upper clival basilar aneurysms. Neurosurgery, 1999. 44(6): p. 1225–34; discussion 1234–6.Google ScholarPubMed
Miller, CG, et al., Transpetrosal approach: surgical anatomy and technique. Neurosurgery, 1993. 33(3): p. 461–9; discussion 469.Google ScholarPubMed
Solari, D., et al., Anatomy and surgery of the endoscopic endonasal approach to the skull base. Translational Medicine @ UniSa, 2012. 2: p. 36–46.Google ScholarPubMed
Kassam, AB, et al., Expanded endonasal approach: fully endoscopic, completely transnasal approach to the middle third of the clivus, petrous bone, middle cranial fossa, and infratemporal fossa. Neurosurg Focus, 2005. 19(1): p. E6.CrossRefGoogle Scholar
Doglietto, F., et al., Brief history of endoscopic transsphenoidal surgery – from Philipp Bozzini to the First World Congress of Endoscopic Skull Base Surgery. Neurosurg Focus, 2005. 19(6): p. E3.CrossRefGoogle Scholar
Walcott Brian, PB, Chordoma: current concepts, management, and future directions. Lancet Oncology. 2012. 13(2): p. 69–76.CrossRefGoogle ScholarPubMed
Gardner, PA, Snyderman, CH, Carrau, RL, and Prevedello, DM, Endoscopic endonasal approaches to the skull base and paranasal sinuses, in Otologic Surgery. 2010, Elsevier, p. 667–80.Google Scholar
Li, J., et al., Definition, evaluation, and management of brain relaxation during craniotomy. British Journal of Anaesthesia, 2016. 116(6): p. 759–69.Google Scholar
Bander, ED, et al., Endoscopic endonasal versus transcranial approach to tuberculum sellae and planum sphenoidale meningiomas in a similar cohort of patients. Journal of Neurosurgery, 2018. 128(1): p. 40–8.Google Scholar
Muskens, IS, et al., The endoscopic endonasal approach is not superior to the microscopic transcranial approach for anterior skull base meningiomas-a meta-analysis. Acta Neurochir, 2018. 160(1): p. 59–75.Google Scholar
Clark Aaron, JA, Endoscopic surgery for tuberculum sellae meningiomas: a systematic review and meta-analysis. Neurosurgical Review. 2013. 36(3): p. 349–59.Google Scholar
Hayashi, N., et al., A novel graft material for preventing cerebrospinal fluid leakage in skull base reconstruction: technical note of perifascial areolar tissue. Journal of neurological surgery. Part B. Skull Base, 2015. 76(1): p. 7–11.Google Scholar
Barger, J., et al., The posterior nasoseptal flap: a novel technique for closure after endoscopic transsphenoidal resection of pituitary adenomas. Surgical Neurology International, 2018. 9: p. 32.Google Scholar
Hadad Gustavo, G., A novel reconstructive technique after endoscopic expanded endonasal approaches: vascular pedicle nasoseptal flap. Laryngoscope. 2006. 116(10): p. 1882–6.Google ScholarPubMed
Yuen, AP, Fung, CF, and Hung, KN, Endoscopic cranionasal resection of anterior skull base tumor. Am J Otolaryngol, 1997. 18(6): p. 431–3.Google Scholar
Yip, J., et al., The inferior turbinate flap in skull base reconstruction. Journal of Otolaryngology – Head & Neck Surgery, 2013. 42(1): p. 6.CrossRefGoogle ScholarPubMed
Alleyne, CH, Barrow, DL, and Oyesiku, NM, Combined transsphenoidal and pterional craniotomy approach to giant pituitary tumors. Surgical Neurology, 2002. 57(6): p. 380–90.Google Scholar
Nicolai, P., et al., Endoscopic surgery for malignant tumors of the sinonasal tract and adjacent skull base: a 10-year experience. Am J Rhinol, 2008. 22(3): p. 308–16.Google Scholar
Liu James, KJ, Combined endoscopic and open approaches in the management of sinonasal and ventral skull base malignancies. Otolaryngologic Clinics of North America. 2017. 50(2): p. 331–46.Google Scholar
Stamates, MM, et al., Combined open and endoscopic endonasal skull base resection of a rare endometrial carcinoma metastasis. Journal of Neurological Surgery Reports, 2018. 79(1): p. e9–e13.Google Scholar
Patel, NJ, and Dunn, I., Resection of a retrochiasmatic craniopharyngioma by combined modified orbital craniotomy and transnasal endoscopic techniques. J Neurol Surg B, 2018. 79(S 03): p. S243–4.Google Scholar
Leung, GKK, et al., An endoscopic modification of the simultaneous ‘above and below’ approach to large pituitary adenomas. Pituitary, 2012. 15(2): p. 237–41.Google Scholar
D’Ambrosio, AL, et al., Simultaneous above and below approach to giant pituitary adenomas: surgical strategies and long-term follow-up. Pituitary, 2009. 12(3): p. 217–25.Google Scholar
Koechlin, NO, et al., Combined transnasal and transcranial removal of a giant clival chordoma. Journal of Neurological Surgery Reports, 2014. 75(1): p. e98–102.Google Scholar
Lombardi, D., et al., Giant hypervascular lesion of the sinonasal tract invading the anterior skull base and orbit: a puzzling case. Ann Otol Rhinol Laryngol, 2008. 117(9): p. 653–8.Google Scholar
Leung, GKK, et al., Combined simultaneous transcranial and transsphenoidal resection of large-to-giant pituitary adenomas. Acta Neurochirurgica, 2011. 153(7): p. 1401–8.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×