Rhino-Neurochirurgie

Abstract

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".

The impact of obesity on rates of post-operative CSF leak following endoscopic skull base surgery: results from a prospective international multi-centre cohort study

“…There was no significant difference in the frequency of any repair method when obese and non-obese patients were compared. planes of the skull base, it has been suggested that optimal results are obtained neurosurgeons and otolaryngologists collaborate in a multidisciplinary fashion to optimise the results of surgery (47,48).…”

CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic

“…Prior to the coronavirus pandemic, the use of endonasal antiseptics was not routine in rhinologic and skull base surgery since it has no preventative effect on postoperative infections [50]. During the COVID-19 era, their use has been revisited as a means of decreasing nasal viral load and preventing potential viral spread during trans-nasal surgery.…”

Funktionelle endoskopische Nasennebenhöhlenchirurgie (FESS)

“…Eine weitere Etablierung der Vier-Hand-Technik wird die Grenzen der endonasalen Chirurgie erweitern und die Notwendigkeit des transfazialen/transoralen Vorgehens weiter reduzieren helfen. Zudem sind der Kombination von endoskopischer Chirurgie mit transfazialen, transorbitalen und neurochirurgischen Zugängen im Prinzip keine Grenzen gesetzt [13].…”