52 Endoscopic Endonasal Approaches for the Treatment of Vascular Lesions
Book
Editors: Borba, Luis A. B.; de Oliveira, Jean G.
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)
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
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