Endoscopic resection of intracranial dermoid cysts

Schuster, Daniel P.; Riley, Kristen; Curé, Joel K.; Woodworth, Bradford A.

doi:10.1017/s0022215110002823

Cited by 31 publications

(33 citation statements)

References 13 publications

(31 reference statements)

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“…previously reported on transnasal endoscopic resection of two large intracranial dermoid cysts that had 4- to 5-cm parenchymal extension into the frontal lobe. 3 A bilateral endoscopic approach was required and both patients have anosmia secondary to the large skull base resection required for access. In the current subject, there was 1.5 cm of intracranial extension but the unilateral endoscopic technique spared his sense of smell on the contralateral side.…”

Section: Discussionmentioning

confidence: 99%

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Smell Sparing Unilateral Intracranial Dermoid Resection

Grayson

Chaaban

Riley

et al. 2014

Allergy�Rhinol (Providence)

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Section: Discussionmentioning

confidence: 99%

“…3,4 Endoscopic techniques produce superb visualization during tumor excision and eliminate postoperative cosmetic concerns. However, preservation of olfaction is difficult because a large portion of the anterior cribriform plate is resected for surgical access to the tumor.…”

mentioning

confidence: 99%

Smell Sparing Unilateral Intracranial Dermoid Resection

Grayson

Chaaban

Riley

et al. 2014

Allergy�Rhinol (Providence)

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“…Larger published series either combined ectodermal and neuroectodermal masses or they summarized di erent malformations under the label of NDSC (8,9,11) . PubMed searching identi ed only three papers discussing the endoscopic treatment of NDSC (15)(16)(17) , while other articles focused …”

Section: De Nition Of Ndscmentioning

confidence: 99%

“…However, because of the few cases treated by the minimally in- were proposed by Weiss et al (17) and Schuster et al (15) .…”

Section: Lessons Learned -Why We Changed the Surgical Approachmentioning

confidence: 99%

“…As standard techniques cause signi cant sequelae like visible scarring and signi cant blood loss especially in children, we have attempted to develop a less invasive technique. The objective of this study is to outline the evolution of the approaches to the crista galli and our e orts to minimize the sequelae (15)(16)(17)(18) . A minimally invasive approach to the crista galli and foramen caecum is described.…”

Section: Introductionmentioning

confidence: 99%

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Access to the crista galli and the foramen caecum in nasal dermal sinus cysts – lessons learned in a single tertiary care centre

Vital¹,

Krayenbuhl²,

Bozinov³

et al. 2013

Rhin

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Access to the crista galli and the foramen caecum in nasal dermal sinus cystslessons learned in a single tertiary care centre* Summary Objective: Several surgical techniques have been suggested for the treatment of nasal dermal sinus cysts (NDSC). We have used several di erent techniques and have developed a minimally invasive approach. The aim of this study is to describe the evolution to this approach and compare the results with those achieved with our experience of more traditional techniques. Methodology/Principal:A retrospective data collection of patients with NDSC presenting to our clinic between 1998 and 2012 was performed. We initially performed external approaches as outlined elsewhere. With an increasing number of young children requiring surgery, the technique was modi ed to a less invasive form. This new approach starts with mobilisation of the pit via a tiny skin incision. An open rhinoplasty approach is used to follow the stula on the nasal bone. Once the stula passes underneath the nasal bone, an endoscopic endonasal approach is used. Following the stula cranially, the area of the foramen caecum can be identi ed.Results: Twelve out of 15 patients (80%) were treated surgically. The transfacial, coronal subcranial and minimally invasive approach was used in 3 (25%), 4 (33%) and 5 patients (42%), respectively. Radical resection was achieved in all patients. Cosmetic problems were present in all patients undergoing a transfacial and in half of the patients after the coronal subcranial approach.Patients treated by the minimally invasive technique remained without sequelae. Conclusion:The minimally invasive approach enables a perfect exposure of the stula up to the crista galli and provides less morbidity and better cosmetic results than the transfacial and subcranial approach.

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