Download PDF
Skull Base 2002; 12(2): 097-102
DOI: 10.1055/s-2002-31572
CASE REPORT

Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

The Transfrontal Approach Using Nasal Endoscopy to Treat Anterior Skull Base Carcinomas

Naoyuki Kohno1 , Satoshi Kitahara2 , Etuyo Tamura2 , Tetuya Tanabe2 , Yoshihiro Ohno2
  • 1Otorhinolaryngology, Kyorin University, School of Medicine, 6-20-2 Shinkawa, Mitaka-shi, Tokyo, Japan
  • 2Otolaryngology, National Defense Medical College, 3-2 Tokorozawa, Saitama, Japan
Further Information

Publication History

Publication Date:
18 May 2004 (online)

    Permissions and Reprints

ABSTRACT

We used a simple subcranial procedure that employed nasal endoscopy to resect two anterior skull base tumors. The solid geometry of the deep frontal sinus must be known to determine the appropriateness of this technique. Since 1999 two patients underwent this technique and have exhibited no signs of local or distant disease for 36 months and 32 months, respectively. This approach minimizes visible scarring, provides a wide exposure of the roof of the anterior ethmoid, and reduces the risks of excessive bleeding and neurogenic complications. The patients recovered rapidly so the treatment was cost-effective and the patients achieved an early return to work. We conclude that the transfrontal approach for anterior skull base tumors can be simple and effective. Further studies of this minimally invasive maneuver for high-risk patients are warranted.

KEYWORDS

Transfrontal approach - nasal endoscopy - anterior skull base tumor

REFERENCES

  • 1 Smith R R, Klopp C T, Williams J M. Surgical treatment of cancer of the frontal sinus and adjacent areas.  Cancer . 1954;  7 991-994
    CrossrefPubMedSearch in Google Scholar
  • 2 Janecka I P. Classification of facial translocation approach to the skull base.  Otolaryngol Head Neck Surg . 1995;  112 579-585
    PubMedSearch in Google Scholar
  • 3 Raveh J, Turk J B, Ladrach K. Extended anterior subcranial approach for skull base tumors: long-term results.  J Neurosurg . 1995;  82 1002-1010
    CrossrefPubMedSearch in Google Scholar
  • 4 Schramm V L, Myers E N, Maroon J C. Anterior skull base surgery for benign and malignant disease.  Laryngoscope . 1979;  89 077-1091
    PubMedSearch in Google Scholar
  • 5 Walch C, Stammberger H, Anderhuber W, Unger F, Kole W, Feichtinger K. The minimally invasive approach to olfactory neuroblastoma: combined endoscopic and stereotactic treatment.  Laryngoscope . 2000;  110 635-640
    CrossrefPubMedSearch in Google Scholar
  • 6 Yuen A PW, Fung C S, Hung K N. Endoscopic cranionasal resection of anterior skull base tumor.  Am J Otolaryngol . 1997;  18 431-433
    PubMedSearch in Google Scholar