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Borba, Luis A. B. et al.: 2021 Microsurgical and Endoscopic Approaches to the Skull Base DOI: 10.1055/b-0041-182773
Section IX Cerebrovascular Management for Skull Base Surgery

52 Endoscopic Endonasal Approaches for the Treatment of Vascular Lesions

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Editors: Borba, Luis A. B.; de Oliveira, Jean G.

Authors: Ahmed, A. Karim; Almeida, Joao Paulo; Alzhrani, Gmaan A.; Aragón-Arreola, Jorge F.; Barbero, Juan Manuel Revuelta; Berumen, Enrique Lopez; Borghei-Ravazi, Hamid; Braga, Fernando Menezes; Burhan, Hira; Cabral, Gustavo Augusto Porto Sereno; Caffaratti, Guido; Campero, Alvaro; Cândido, Duarte N. C.; Carrau, Ricardo L.; Cassidy, Matthew; Castellanos, Alberto Manuel Ángeles; Catapano, Joshua S.; Ceccato, Guilherme Henrique Weiler; Centeno, Tomás Ries; Cerezo, Eugenio; Chakravarthi, Srikant; Chaudhary, Pramod; Cherian, Iype; Cohen, Alan R.; Colli, Benedicto Oscar; Couldwell, William T.; Dodson, Vincent; Eguiluz-Meléndez, Aldo G.; Elizalde, Ramiro López; Eloy, Jean Anderson; Felicio, Thiago Albonette; Felix, Vinod; Ferrarez, Carlos Eduardo Prata Fernandes; Ferreira, Mauro A. Tostes; Fernandez-Miranda, Juan C.; Filho, Miguel Giudicissi; Froelich, Sébastien; García, Martín Granados; Gardner, Paul A.; Gentili, Fred; Giacomelli, Richard; Goel, Atul; Gómez-Amador, Juan Luis; Gozal, Yair M.; Gondim, Guilherme Gozzoli Podolsky; Gusmão, Sebastião Nataniel Silva; Hanakita, Shunya; Hardesty, D. A.; Herrera, Daniel Londoño; Hsueh, Wayne D.; Joshi, Krishna C.; Jradi, Ahmed Al; Kadri, Paulo A. S.; Kafle, Prakash; Kalb, Samuel; Kalkmann, Gabriela F.; Kanaan, Imad N.; Karekezi, Claire; Kassam, Amin; Kovalev, Aleksandr Yurievich; Kshettry, Varun R.; Labidi, Moujahed; Landeiro, José Alberto; Lang, Michael J.; Lawton, Michael T.; Lem-Carrillo, Mónica; Liu, James K.; Longo-Calderón, Gabriel Mauricio; Lopez, Juan; Lovato, Renan M.; Majmundar, Neil; Marian-Magaña, Ricardo; Maluf, Felipe Bicalho; Martínez-Manrique, José de Jesús; Martins, Carolina; Martins, Warley; Markin, Egor S.; Méndez, Humberto Reyna; Monroy-Sosa, Alejandro; Mora, José Alfredo Espinosa; Mukherjee, Debraj; Munakomi, Sunil; Mura, Jorge; Nakaji, Peter; Narendrakumar, Veerasigamani; Nathal, Edgar; Nunes, Cristian Ferrareze; Oliveira, Marcelo Magaldi; Ortega-Porcayo, Luis Alberto; Otto, Bradley A.; Park, HunHo; Peres, Gabriel H.; Porras, Jose Luis; Prevedello, Daniel M.; Rassi, Marcio S.; Rassi-Neto, Aziz; Recinos, Pablo F.; Rehder, Roberta; Reis, Cassius Vinicius Correa dos; Reyes, Laura Matilde Ubaldo; Rhoton, Albert; Ribas, Eduardo Carvalhal; Ríos-Zermeño, Jorge; Rocha, Eder da Silva; Romano-Feinholz, Samuel; Ronconi, Daniel; Rosito, Diego Méndez; S., Vignesh; Sáenz, Amparo; Safarov, Aidar Kh.; Sagar, Soumya; Sanchez, Miguel M.; Shrestha, Sudeep; Silva, Izabel Eugênia Costa e; da Silveira, Roberto Leal; Snyderman, Carl H.; Socolovsky, Mariano; Spetzler, Robert F.; Sufianov, Rinat A.; Sufianov, Albert A.; Thingujam, Jagadish; Todeschini, Alexandre B.; Valença, Marcelo; Valencia-Ramos, Cristopher G.; Veiga, José Carlos Esteves; Vescan, Allan; Villalonga, Juan F.; Volovetz, Josephine; Wang, Eric W.; Watanabe, Kentaro; Wicks, Robert T.; Witterick, Ian; Yasuda, Alexandre; Zadeh, Gelareh; Zagzoog, Nirmeen; Zahrani, Abdulrahman Al; Zhao, Xiaochun; Zoli, M.

Title: Microsurgical and Endoscopic Approaches to the Skull Base

Subtitle: Anatomy, Tactics, and Techniques

Print ISBN: 9781626239661; Online ISBN: 9781684203772; Book DOI: 10.1055/b000000340

1. Edition © 2021. Thieme. All rights reserved.
Thieme Medical Publishers, Inc., New York

Subjects: Neurosurgery;Otorhinolaryngology, Phoniatrics, Audiology

Thieme Clinical Collections (English Language)



 
Juan Luis Gómez-Amador, Aldo G. Eguiluz-Meléndez, Cristopher G. Valencia-Ramos, José de Jesús Martínez-Manrique, Samuel Romano-Feinholz, and Luis Alberto Ortega-Porcayo

Abstract

In this chapter, we present the technical nuances required for the treatment of vascular lesions through an expanded endonasal endoscopic approach (EEA). For this purpose, we briefly describe the background that has led skull base endoscopy to face modern surgical challenges such as resection of cavernous malformations, clipping of intracranial aneurysms, and removal of vascular tumors. We revise the most relevant anatomy from the bony and dural landmarks that safely guide an EEA, to the exposure of intradural neural and vascular structures involved in vascular pathology. We revise the preoperative evaluation, surgical technique, general and specific principles of reconstruction, and technological adjuncts available today for the treatment of these pathologies. Furthermore, a thorough literature review is presented in terms of worldwide experience in the treatment of brainstem cavernous malformations, anterior and posterior circulation intracranial aneurysms, and vascular tumors such as angiofibromas and hemangiomas. We present anatomical dissection photographs as well as clinical cases to further illustrate this chapter’s contents.

Key words

endoscopic endonasal approach - intracranial aneurysm - cavernous malformation - vascular tumors - hybrid surgery
 
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