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Modern endoscopic skull base neurosurgery

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Journal of Neuro-Oncology Aims and scope Submit manuscript

Abstract

Introduction

Since the early use of the endoscopic view for treating simple intrasellar pituitary adenomas, the skull base surgery has experienced an unprecedented revolution elevating the treatment of skull base lesions to the next level in proficiency and excellence of care.

Methods

We have reviewed the preclinical and clinical evidence supporting the use of the endoscope in the treatment of skull base lesions. In this article, we aim to discuss and provide a wide view of the current indications and future perspectives of the endoscopic endonasal approaches (EEA) and of the endoscopic transcranial approaches.

Results

As in the development of any other technique, EEA have gone through a transformation process from theoretical anatomic models to a pragmatic clinical use. Along the way, EEA have required several modifications, as well as pushbacks in the application of this technique in some indications. This process has resulted in the provision of an additional tool to the current surgical armamentarium that allows the skull base surgeon to face most challenging lesions along the skull base.

Conclusions

The judicious combination of transcranial and endoscopic-transnasal approaches warrants highest chances of achieving satisfactory tumors resection with a reduced risk of complications.

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Authors and Affiliations

  1. Departments of Neurosurgery, Wexner Medical Center, The Ohio State University, 410 W 10th Ave, Columbus, OH, 43210, USA

    Rafael Martinez-Perez, Luis C. Requena, Ricardo L. Carrau & Daniel M. Prevedello

  2. Head and Neck Surgery, Wexner Medical Center, The Ohio State University, Columbus, OH, USA

    Ricardo L. Carrau & Daniel M. Prevedello

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  1. Rafael Martinez-Perez
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Dr Daniel Prevedello is a consultant for Integra and Stryker. Equities: eLum, Soliton, Three rivers, ParaGen. Royalties: ACE Medical, KLS-Martin, Mizuho and Honorarium: Storz.

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Martinez-Perez, R., Requena, L.C., Carrau, R.L. et al. Modern endoscopic skull base neurosurgery. J Neurooncol 151, 461–475 (2021). https://doi.org/10.1007/s11060-020-03610-9

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