Expanded Endoscopic Endonasal Approaches to Skull Base Meningiomas

J. Drew Prosser; John R. Vender; Cargill H. Alleyne; C. Arturo Solares

doi:10.1055/s-0032-1301391

Journal of Neurological Surgery Part B: Skull Base, Table of Contents

J Neurol Surg B Skull Base 2012; 73(03): 147-156
DOI: 10.1055/s-0032-1301391

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Expanded Endoscopic Endonasal Approaches to Skull Base Meningiomas

J. Drew Prosser

¹Department of Otolaryngology, Georgia Health Sciences University, Augusta, Georgia

,

John R. Vender

¹Department of Otolaryngology, Georgia Health Sciences University, Augusta, Georgia

²Department of Neurosurgery, Georgia Health Sciences University, Augusta, Georgia

,

Cargill H. Alleyne

²Department of Neurosurgery, Georgia Health Sciences University, Augusta, Georgia

,

C. Arturo Solares

¹Department of Otolaryngology, Georgia Health Sciences University, Augusta, Georgia

²Department of Neurosurgery, Georgia Health Sciences University, Augusta, Georgia

› Author Affiliations

Abstract

Anterior cranial base meningiomas have traditionally been addressed via frontal or frontolateral approaches. However, with the advances in endoscopic endonasal treatment of pituitary lesions, the transphenoidal approach is being expanded to address lesions of the petrous ridge, anterior clinoid, clivus, sella, parasellar region, tuberculum, planum, olfactory groove, and crista galli regions. The expanded endoscopic endonasal approach (EEEA) has the advantage of limiting brain retraction and resultant brain edema, as well as minimizing manipulation of neural structures. Herein, we describe the techniques of transclival, transphenoidal, transplanum, and transcribiform resections of anterior skull base meningiomas. Selected cases are presented.

Keywords

skull base - endoscopic - endonasal - meningioma

Full Text

References

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