[Micro-neurosurgical treatment of cranionasal tumors in combination with transnasal endoscopy].
OBJECTIVE
To explore an effective microsurgical approach to the treatment of cranionasal tumors.


METHODS
A retrospective review of 18 micro-neurosurgical patients with cranionasal tumors (June 2005 to June 2007) was undertaken.


RESULTS
All of the 18 patients were treated with subfrontal approaches in combination with transnasal endoscopy. Tumors were resected in the stage-one operations (14 were totally resected and 4 were subtotally resected). The anterior skull bases were reconstructed. Transient CSF rhinorrhea was found in two cases. All of the patients experienced good recoveries, with no operative death. The follow up after 5 to 29 months revealed that only four patients had tumor recurrence. Three patients lost in the follow up.


CONCLUSIONS
Subfrontal microsurgical operation combined with transnasal endoscopy is an effective approach to the treatment of cranionasal tumors. It enables high total resection rate and has low complications.
Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Bo-Wen
BW
Cai
Hui-Min
HM
An
Jin-Ping
JP
Liu
Xiao-Ming
XM
Qiao
Wei-Ning
WN
Yin
Shu
S
Jiang
Jian-Guo
JG
Xu
Jin
J
Li
Jun-Yi
JY
Wang
Chun-Xiao
CX
Ma
D000293:Adolescent; D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods; D009669:Nose Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D019291:Skull Base / Q000601:surgery; D019292:Skull Base Neoplasms / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult