Endoscopic Endonasal Trans-Sphenoidal and Skull Base Surgeries in Aseer Central Hospital, Sothern Saudi Arabia

Abdullah Alskaini

doi:10.19080/gjo.2020.22.556087

Abstract

Endoscopic Endonasal Trans-Sphenoidal and Skull Base Surgeries in Aseer Central Hospital, Sothern Saudi Arabia

Highlights

Over the Last 20 years, the transsphenoidal approach has been used to remove skull base tumors and to reconstruct skull base in cerebrospinal fluid (CSF) leakage cases
The study included all patients, who diagnosed with skull base lesion and CSF leakage and undergone endoscopic endonasal skull base surgeries over a period of 6 years
Intra-operative CSF was recorded among 70% of the cases and 55% recorded complications while recurrence was recorded among 25% of the cases

Summary

Introduction

Over the Last 20 years, the transsphenoidal approach has been used to remove skull base tumors and to reconstruct skull base in CSF leakage cases. The Endoscopic Endonasal Approach (EEA) is a pioneering surgical technique used to remove brain tumors and lesions some as large as softballs all through the nose. This approach needs a multidisciplinary team of neurosurgeons, otolaryngologists, ophthalmic surgeons, and spine surgeons [1,2]. Crafted instruments are used alongside the endoscope for tumour dissection removal [3,4] This minimally invasive approach uses the nose and sinuses as natural pathway to reach tumors and lesions in critical areas at the base of the skull or top of the spine. Endoscopic endonasal surgery can reach most regions of the skull base located anterior to the foramen mag-

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Discussion

Conclusion