Resection of Anterior Cranial Base Meningiomas with Intra- and Extracranial Involvement via a Purely Endoscopic Endonasal Approach

Zhang, Qiuhang; Wang, Zhenlin; Guo, Haiqing; Kong, Feng Ming; Chen, Ge; Bao, Yijun; Li, Feng

doi:10.1159/000341320

Cited by 16 publications

(26 citation statements)

References 59 publications

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“…Eleven studies met our inclusion criteria, 4 of which were systematic reviews . Reviewed studies with clinical endpoints and conclusions are summarized in Table .…”

Section: Intradural Tumorsmentioning

confidence: 99%

ICAR: endoscopic skull‐base surgery

Wang

Zanation

Gardner

et al. 2019

Int Forum Allergy Rhinol

151

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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“…Eleven studies met our inclusion criteria, 4 of which were systematic reviews . Reviewed studies with clinical endpoints and conclusions are summarized in Table .…”

Section: Intradural Tumorsmentioning

confidence: 99%

ICAR: endoscopic skull‐base surgery

Wang

Zanation

Gardner

et al. 2019

Int Forum Allergy Rhinol

151

279

View full text Add to dashboard Cite

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“…Die Nase wird mit PVP-Jod getränkten Watteträgern zeitweise ausgelegt bzw. ausgewaschen [56,120,228,338,339]. Alternativ wird die Nase mit 5 % Chlorhexidin oder antibiotischer Lösung (z.…”

Section: Lokale Maßnahmenunclassified

“…Unter bestimmten Umständen muss jedoch von diesem Plan Abstand genommen werden; Gründe sind: Unzugänglichkeit von Tumor-Ausläufern, Invasion oder feste Adhäsion des Tumors an delikaten Strukturen (u. a. Hypothalamus, Thalamus, Fornix, A. basilaris, A. carotis, A. communicans anterior, N. opticus, Chiasma) [108,376]. Eine ‚en bloc' Resektion ist nicht nötig [56,83,88,123,131,188,203,339,360,416,417].…”

Section: Extrakapsuläre Dissektion Und Isolation Der Neurovaskulärenunclassified

“…Für andere Patienten-Kollektive werden deutlich längere, stationäre Verweilzeiten von bis zu 44 Tagen (Durchschnitt z. T. 6,7,8 oder 9 Tage) angegeben [5,82,301,306,339,374,404,483,642,714]. Die Verweildauer erhöht sich naturgemäß bei Auftreten postoperativer Komplikationen wie einer Liquorfistel oder eines Diabetes insipidus [341].…”

Section: Stationärer Aufenthalt Spezielle Poststationäre Nachbehandlunclassified

“…u.) ausgeführt -eine vorsorgliche Kauterisation der A. sphenopalatina muss unterbleiben[18,56,60,63,85,89,112,119,120,134,135,137,188,203,307,308,321,331,339,344,349,356,[404][405][406][407][408][409][410][411][412]. Es kann im Einzelfall hilfreich sein, erste Schritte wie z.…”

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Rhino-Neurochirurgie

Hosemann

Schroeder

2015

Laryngo-Rhino-Otol

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In the past 2 decades, an innovative and active field of surgical collaboration has been evolved and established combining the expertise of Neurosurgery and Rhinosurgery in treatment of different lesions affecting the anterior skull base together with the adjacent intranasal and intradural areas. Important prerequesites for this development were improvements of technical devices, definitions of transnasal surgical corridors and approvements in endonasal reconstruction e. g. by use of pedicled nasal mucosal flaps. Interdisciplinary surgical teams have been established constituting specialized centers of "rhino-neurosurgery". With growing experience of these groups, it could be shown that oncological results and perioperative complications were comparable to traditional surgery while at the same time, patient's morbidity could be reduced.The present review encompasses the recent literature focussing on the development, technical details, results and complications of "rhino-neurosurgery".

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Limitations of the endonasal endoscopic approach in treating olfactory groove meningiomas. A systematic review

et al. 2017

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Our updated literature review demonstrates that despite more experience with endoscopic resection and skull base reconstruction, the literature still supports TCA over EEA with respect to the extent of resection and complications. EEA may be an option in selected cases where visual improvement is the main goal of surgery and postoperative anosmia is acceptable to the patient or in medium-sized tumors with existing preoperative anosmia. Nevertheless, based on our results, it seems more prudent at this time to use TCA for the majority of OGMs.

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Resection of Anterior Cranial Base Meningiomas with Intra- and Extracranial Involvement via a Purely Endoscopic Endonasal Approach

Cited by 16 publications

References 59 publications

ICAR: endoscopic skull‐base surgery

ICAR: endoscopic skull‐base surgery

Rhino-Neurochirurgie

Limitations of the endonasal endoscopic approach in treating olfactory groove meningiomas. A systematic review

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