Endoscopic surgery in the skull base unit: experience in the first 72 cases.
作者信息
Gras-Cabrerizo Juan R, Muñoz-Hernández Fernando, Montserrat-Gili Joan R, Tresserras-Ribo Pere, de Juan-Delago Manuel, Webb Susan M, Aulinas-Masó Anna, Martín-Huerta Beatriz, Molet-Teixidó Joan, Quer-Agustí Miquel, Massegur-Solench Humbert
机构信息
Servicio de Otorrinolaringología, Hospital de la Santa Creu i Sant Pau, Universidad Autónoma de Barcelona, Barcelona, España.
出版信息
Acta Otorrinolaringol Esp. 2013 May-Jun;64(3):169-75. doi: 10.1016/j.otorri.2012.10.006. Epub 2013 Jan 15.
INTRODUCTION
A multidisciplinary team is essential to develop and expand the indications in endonasal endoscopic skull base surgery. The aim of this study was to present our experience in a group of patients with skull base lesions treated using endonasal endoscopic approach.
METHODS
From January 2008 to January 2012, 72 patients with skull base involvement were diagnosed and treated in our centre.
RESULTS
The mean patient age was 53 years. The different pathologies included 36 pituitary adenomas, 10 cerebrospinal fluid leaks and 5 inverted papillomas as the most frequent pathologies. We performed a transsphenoidal transellar approach in 45 cases, a transmaxillary transpterygoid approach in 4 cases and a transnasal expanded approach in 6 cases. We performed an ethmoidal/sphenoidal approach in 12 patients and a Draf IIb/III procedure in four cases. Total resection was achieved in 61% of patients with pituitary adenomas, subtotal in 22% and partial in 17%. Successful repair was achieved in 86% of CSF leaks. No recurrences were observed in patients with inverted papilloma. Complications were observed in 21 patients (29%), 6 being major complications.
CONCLUSIONS
Our centre stresses the importance of multidisciplinary collaboration in endoscopic endonasal skull base surgery.
Zotero 插件