Skull Base Surgery




Solutions for Neuroendoscopic Surgery




Skull base surgery has been transformed by the development of endoscopic techniques. Endoscopic procedures were first used for pituitary surgery and were then gradually extended to other regions. A wide range of diseases are now accessible to endoscopic skull base surgery. The major advantage of the endoscopic endonasal approach is that it provides direct anatomical access to a large number of intracranial and paranasal sinus lesions, avoiding the sequelae of a skin incision, facial bone flap or craniotomy, and brain retraction, which is inevitable with conventional neurosurgical incisions, resulting in decreased morbidity and mortality and, indirectly, decreased length of hospital stay and management costs. 1







E. McCould, V Anand, J Bedrosian, T Schwatz. “Endoscopic Skull base surgery and its impact on sinonasal-related quality of life.” International Forum of Allergy & Rhinology, Vol. 2, No. 2, March/April 2012.



D Wilson, R Williamson, M Preul, A Little. “Comparative Analysis of Surgical Freedom and Angle of Attack of Two Minimal Access Endoscopic Transmaxillary Approaches to the Anterolateral Skull Base.” In Press.



J Dusick, F. Esposito, C Mattozo, D Kelly. “Endonasal transsphenoidal surgery: the patient's perspective-survey results from 259 patients .” Surgical Neurology 65 (2006) 332-342.



Higgins, T. Courtemanche C, Karakla D. “Analysis of transnasal endoscopic versus transseptal microscopic approach for excision of pituitary tumors .” American Journal of Rhinology. November-Dec 2008, Vol 22, No. 6.



Schaberg, Anand, Schwartz . “Ten Pearls for Safe Endoscopic Skull Base Surgery”. Otolaryngol Clin N Am 43 (2010) 945-954.






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1.Verillaud B, Bresson D, Sauvaget E, Mandonnet E, Georges B, Kania R, Herman P. Endoscopic endonasal skull base surgery. Eur Ann Otorhinolaryngol Head Neck Dis. 2012 Aug;129(4):190-6. doi: 10.1016/j.anorl.2011.09.004. Epub 2012 Feb 7. Review. PubMed PMID: 22321910.