Combined Endoscopic and Open Approaches in the Management of Sinonasal and Ventral Skull Base Malignancies.
Combined transcranial and endoscopic endonasal approaches remain useful in the treatment of ventral skull base malignancies. The extended bifrontal transbasal approach provides wide access to the anterior ventral skull base and paranasal sinuses without transfacial incisions. In more extensive lesions, the bifrontal transbasal approach can then be combined with an endoscopic endonasal approach (EEA) from below. This article reviews the indications, surgical technique, and operative nuances of combined transbasal and EEA (cranionasal) approaches for the surgical management of ventral skull base malignancies.
Department of Neurological Surgery, Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA; Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA. Electronic address: liuj10@njms.rutgers.edu.
James K
JK
Liu
Department of Neurological Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA; Department of Otolaryngology - Head and Neck Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA.
Anni
A
Wong
Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA; Rhinology and Sinus Surgery, Otolaryngology Research, Endoscopic Skull Base Surgery Program, Department of Otolaryngology - Head and Neck Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA; Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, Newark, NJ, USA; Department of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, NJ, USA.
Jean Anderson
JA
Eloy
D000072226:Computed Tomography Angiography; D003399:Craniotomy / Q000379:methods*; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D010255:Paranasal Sinus Neoplasms / Q000601:surgery*; D010256:Paranasal Sinuses / Q000601:surgery*; D019291:Skull Base / Q000601:surgery*; D019292:Skull Base Neoplasms / Q000601:surgery*; D013524:Surgical Flaps
Craniotomy; Endoscopic endonasal surgery; Nasoseptal flap; Sinonasal malignancy; Skull base defect; Skull base malignancy; Skull base surgery; Transbasal