Combined Endoscopic and Open Approaches in the Management of Sinonasal and Ventral Skull Base Malignancies

被引:15
|
作者
Liu, James K. [1 ,2 ]
Wong, Anni [3 ,4 ]
Anderson, Jean [5 ,6 ,7 ,8 ]
机构
[1] Rutgers New Jersey Med Sch, Neurol Inst New Jersey, Dept Neurol Surg, Ctr Skull Base & Pituitary Surg, 90 Bergen St,Suite 8100, Newark, NJ 07103 USA
[2] Rutgers New Jersey Med Sch, Dept Otolaryngol Head & Neck Surg, Newark, NJ 07103 USA
[3] Rutgers New Jersey Med Sch, Neurol Inst New Jersey, Dept Neurol Surg, 90 Bergen St,Suite 8100, Newark, NJ 07103 USA
[4] Rutgers New Jersey Med Sch, Neurol Inst New Jersey, Dept Otolaryngol Head & Neck Surg, 90 Bergen St,Suite 8100, Newark, NJ 07103 USA
[5] Rutgers New Jersey Med Sch, Dept Neurol Surg, Newark, NJ USA
[6] Rutgers New Jersey Med Sch, Neurol Inst New Jersey, Dept Otolaryngol Head & Neck Surg,Otolaryngol Res, Endoscop Skull Base Surg Program,Rhinol & Sinu Su, 90 Bergen St,Suite 8100, Newark, NJ 07103 USA
[7] Rutgers New Jersey Med Sch, Neurol Inst New Jersey, Ctr Skull Base & Pituitary Surg, Newark, NJ USA
[8] Rutgers New Jersey Med Sch, Dept Ophthalmol & Visual Sci, Newark, NJ USA
关键词
Skull base malignancy; Skull base defect; Skull base surgery; Sinonasal malignancy; Endoscopic endonasal surgery; Craniotomy; Transbasal; Nasoseptal flap; JUVENILE NASOPHARYNGEAL ANGIOFIBROMA; MINIMIZING FACIAL INCISIONS; CEREBROSPINAL-FLUID LEAKS; CRANIOFACIAL RESECTION; CRANIONASAL RESECTION; TRANSBASAL APPROACH; NASOSEPTAL FLAP; SURGICAL NUANCES; CRANIAL BASE; ANTERIOR;
D O I
10.1016/j.otc.2016.12.009
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Combined transcranial and endoscopic endonasal approaches remain useful in the treatment of ventral skull base malignancies. The extended bifrontal transbasal approach provides wide access to the anterior ventral skull base and paranasal sinuses without transfacial incisions. In more extensive lesions, the bifrontal transbasal approach can then be combined with an endoscopic endonasal approach (EEA) from below. This article reviews the indications, surgical technique, and operative nuances of combined trans basal and EEA (cranionasal) approaches for the surgical management of ventral skull base malignancies.
引用
收藏
页码:331 / +
页数:17
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