An institutional analysis of the outcomes of endonasal endoscopic anterior skull base surgery

Abstract

Endoscopic skull base surgery is an emerging surgical technique that recolonized the resection of skull base lesions. The present study analyzed the outcome of the endoscopic endonasal anterior skull base.A retrospective data review ofendoscopic endonasal anterior skull base surgeries performed from 2017 to 2022. Minimum follow-up was done 6 months postoperatively.: 63 cases of anterior skull base pathologies have been operated out of which 2 cases of meningioma, 3 cases of meningoencephalocele, 5 olfactory neuroblastoma, 18 angiofibroma extending till anterior skull base, 8 CSF rhinorrhea repair, 12 pituitary macroadenoma, 8 cerebral Mucormycosis and 7 sino-nasal mass with intracranial extension have been operated. Residual disease was left in 10 cases, the rest all the masses were completely removed. The overall complication rate was 28.6 percent. Three mortalities occur a few months post-operatively of which 2 were cerebral mucormycosis and one was sino-nasal malignancy with intracranial extension.Endoscopic endonasal anterior skull base surgeries are safe surgical procedure that provides a high degree of disease clearance and negligible complications.