Outcomes After Transcranial and Endoscopic Endonasal Approach for Tuberculum Meningiomas—A Retrospective Comparison

Song, Sang Woo; Kim, Yong Hui; Kim, Jin Wook; Park, Chul‐Kee; Kim, Jung Eun; Kim, Dong-Gyu; Koh, Young Cho; Jung, Hee Won

doi:10.1016/j.wneu.2017.09.202

Cited by 50 publications

(72 citation statements)

References 49 publications

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“…Five additional papers, featuring analyses of TCA (n = 121) vs EEA (n = 87), demonstrated a rate of vision improvement ranging from 33.3% to 97.7% for those undergoing EEA, with a weighted average rate of vision improvement equaling 82.8%. In contrast, the rate of vision improvement in the TCA group ranged from 18.8% to 61.4%, with a weighted average rate of vision improvement equaling 44.6% (Table , Table ) . In 1 study, multivariate analysis, patient age less than 55 years old, and use of EEA were found to be associated with significantly higher odds of vision improvement …”

Section: Intradural Tumorsmentioning

confidence: 93%

“…reported leak rates of 25.0% and 69.2%, respectively, prior to the use of vascularized NSFs, though these rates dramatically decreased to 0.0% and 16.1%, respectively, following the use of a vascularized flap for closure. Improved leak rates over time likely reflect greater experience with use of vascularized flaps over the surgical learning curve . In contrast, 7 series not including use of a vascularized NSF demonstrated an overall leak rate of 22.2% among 97 patients .…”

Section: Intradural Tumorsmentioning

confidence: 99%

“…In contrast, the rate of GTR following TCA ranged from 22.2% to 87.5%, with a weighted average rate of GTR equaling 74.3% (Table , Table ) …”

Section: Intradural Tumorsmentioning

confidence: 99%

“…Five additional papers featured analyses of patients treated via TCA (n = 109) vs EEA (n = 71) . Within these papers, the rate of EEA GTR ranged from 50.0% to 85.7% with a weighted average rate of GTR equaling 76.3% (Table , Table ).…”

Section: Intradural Tumorsmentioning

confidence: 99%

“…In 6 single‐institution series encompassing 153 suprasellar meningioma patients in which all patients received a vascularized NSF, rates of postoperative CSF fluid leak ranged from 20.0% in early series to 0.0% in the most recent series, with an overall average leak rate of 9.8% . Two series reported leak rates prior to and following adoption of a vascularized NSF for closure.…”

Section: Intradural Tumorsmentioning

confidence: 99%

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ICAR: endoscopic skull‐base surgery

Wang

Zanation

Gardner

et al. 2019

Int Forum Allergy Rhinol

152

279

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Background Endoscopic skull‐base surgery (ESBS) is employed in the management of diverse skull‐base pathologies. Paralleling the increased utilization of ESBS, the literature in this field has expanded rapidly. However, the rarity of these diseases, the inherent challenges of surgical studies, and the continued learning curve in ESBS have resulted in significant variability in the quality of the literature. To consolidate and critically appraise the available literature, experts in skull‐base surgery have produced the International Consensus Statement on Endoscopic Skull‐Base Surgery (ICAR:ESBS). Methods Using previously described methodology, topics spanning the breadth of ESBS were identified and assigned a literature review, evidence‐based review or evidence‐based review with recommendations format. Subsequently, each topic was written and then reviewed by skull‐base surgeons in both neurosurgery and otolaryngology. Following this iterative review process, the ICAR:ESBS document was synthesized and reviewed by all authors for consensus. Results The ICAR:ESBS document addresses the role of ESBS in primary cerebrospinal fluid (CSF) rhinorrhea, intradural tumors, benign skull‐base and orbital pathology, sinonasal malignancies, and clival lesions. Additionally, specific challenges in ESBS including endoscopic reconstruction and complication management were evaluated. Conclusion A critical review of the literature in ESBS demonstrates at least the equivalency of ESBS with alternative approaches in pathologies such as CSF rhinorrhea and pituitary adenoma as well as improved reconstructive techniques in reducing CSF leaks. Evidence‐based recommendations are limited in other pathologies and these significant knowledge gaps call upon the skull‐base community to embrace these opportunities and collaboratively address these shortcomings.

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Section: Intradural Tumorsmentioning

confidence: 93%

Section: Intradural Tumorsmentioning

confidence: 99%

“…In contrast, the rate of GTR following TCA ranged from 22.2% to 87.5%, with a weighted average rate of GTR equaling 74.3% (Table , Table ) …”

Section: Intradural Tumorsmentioning

confidence: 99%

Section: Intradural Tumorsmentioning

confidence: 99%

Section: Intradural Tumorsmentioning

confidence: 99%