Endoscopically assisted anterior cranial skull base resection of sinonasal tumors.
The traditional approach to sinonasal tumors involving the base of skull has been the anterior craniofacial resection. Endoscopic techniques have created the potential to approach the intranasal aspect of skull base lesions without external incisions and still develop an en bloc resection when removed. We report our initial experience with skull base neoplasms in which the otolaryngic portion of the standard resection was accomplished instead through an endoscopic approach. The nature of lesions favorable for this approach and associated technical issues are discussed. Although we do not consider this approach a replacement for the traditional anterior craniofacial resection, it is an important adjunct in the skull base surgeon's armamentarium.
Thaler
E R
ER
Department of Otorhinolaryngology: Head and Neck Surgery, University of Pennsylvania, Philadelphia, USA.
Kotapka
M
M
Lanza
D C
DC
Kennedy
D W
DW
D000230:Adenocarcinoma / Q000601:surgery; D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D003399:Craniotomy / Q000379:methods; D004724:Endoscopy / Q000379:methods; D005005:Ethmoid Sinus / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008579:Meningioma / Q000601:surgery; D008875:Middle Aged; D009296:Nasal Cavity / Q000601:surgery; D009298:Nasal Polyps / Q000601:surgery; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D009378:Neoplasms, Multiple Primary / Q000601:surgery; D009669:Nose Neoplasms / Q000601:surgery*; D010212:Papilloma / Q000601:surgery; D018308:Papilloma, Inverted / Q000601:surgery; D010255:Paranasal Sinus Neoplasms / Q000601:surgery*; D019291:Skull Base / Q000601:surgery*; D019292:Skull Base Neoplasms / Q000601:surgery; D013101:Sphenoid Sinus / Q000601:surgery