Modified subtotal-Lothrop procedure for extended frontal sinus and anterior skull-base access: a case series

2014 ◽  
Vol 4 (6) ◽  
pp. 517-522 ◽  
Author(s):  
Jean Anderson Eloy ◽  
Leila J. Mady ◽  
Vivek V. Kanumuri ◽  
Peter F. Svider ◽  
James K. Liu
Keyword(s):  
Skull Base ◽  
Frontal Sinus ◽  
Case Series ◽  
Anterior Skull Base

scholarly journals Craniofacial resection of malignant tumors of the anterior skull base: a case series and a systematic review

2018 ◽  
Vol 160 (12) ◽  
pp. 2339-2348 ◽  
Author(s):  
Marton König ◽  
Terje Osnes ◽  
Peter Jebsen ◽  
Torstein R. Meling
Keyword(s):  
Systematic Review ◽  
Skull Base ◽  
Malignant Tumors ◽  
Case Series ◽  
Anterior Skull Base ◽  
Craniofacial Resection

scholarly journals Expanded endonasal approach: the rostrocaudal axis. Part I. Crista galli to the sella turcica

2005 ◽  
Vol 19 (1) ◽  
pp. 1-12 ◽  
Author(s):  
Amin Kassam ◽  
Carl H. Snyderman ◽  
Arlan Mintz ◽  
Paul Gardner ◽  
Ricardo L. Carrau
Keyword(s):  
Skull Base ◽  
Sella Turcica ◽  
Surgical Techniques ◽  
Case Series ◽  
Anterior Skull Base ◽  
Anatomical Landmarks ◽  
Endonasal Approach ◽  
Appropriate Use ◽  
Expanded Endonasal Approach ◽  
Skull Base Lesions

Object Transsphenoidal approaches have been used for a century for the resection of pituitary and other sellar tumors. More recently, the standard endonasal approach has been expanded to provide access to other, parasellar lesions. With the addition of the endoscope, this expansion carries significant potential for the resection of skull base lesions. Methods The anatomical landmarks and surgical techniques used in expanded (extended) endoscopic approaches to the rostral, anterior skull base are reviewed and presented, accompanied by case illustrations of each segment (or module) of approach. The rostral half of the anterior skull base is divided into modules of approach: sellar/parasellar, transplanum/transtuberculum, and transcribriform. Case illustrations of successful resections of lesions with each module are presented and discussed. Conclusions Endoscopic, expanded endonasal approaches to rostral anterior skull base lesions are feasible and hold great potential for decreased morbidity. The effectiveness and appropriate use of these techniques must be evaluated by close examination of outcomes as case series expand.

Endoscopic Endonasal Management of Metastatic Lesions of the Anterior Skull Base: Case Series and Literature Review

2015 ◽  
Vol 84 (5) ◽  
pp. 1267-1277 ◽  
Author(s):  
Brad E. Zacharia ◽  
Flavio R. Romero ◽  
Sarah K. Rapoport ◽  
Shaan M. Raza ◽  
Vijay K. Anand ◽  
...  
Keyword(s):  
Literature Review ◽  
Skull Base ◽  
Case Series ◽  
Anterior Skull Base ◽  
Base Case ◽  
Endoscopic Endonasal ◽  
Metastatic Lesions

scholarly journals Tailored Extended Bifrontal Craniotomy for Anterior Skull Base Tumors: Anatomic Description of a Modified Surgical Technique and Case Series

2017 ◽  
Vol 14 (4) ◽  
pp. 386-394 ◽  
Author(s):  
Michael M Safaee ◽  
Michael W McDermott ◽  
Arnau Benet ◽  
Philip V Theodosopoulos
Keyword(s):  
Skull Base ◽  
Frontal Lobe ◽  
Tomographic Reconstruction ◽  
Case Series ◽  
Early Postoperative Period ◽  
Anterior Skull Base ◽  
Skull Base Tumors ◽  
Case Examples ◽  
Computed Tomographic ◽  
Surgical Exposure

Abstract BACKGROUND Open transcranial approaches to the anterior skull base remain an integral component of current skull base practice. Evolution of these and other techniques has resulted in revisions of standard, tried-and-true methods in attempts to improve patient outcomes and cosmesis, while still providing the best combination of surgical exposure and ergonomics. OBJECTIVE To describe a modified approach for midline tumors of the anterior skull base. METHODS We describe the anatomy and techniques of a modified extended bifrontal craniotomy for anterior skull base tumors. Case examples and a postoperative 3-dimensional computed tomographic reconstruction of the craniotomy are provided. RESULTS The technique has been employed with success in 3 tuberculum sellae meningiomas where the anterior limit of the tumor is several centimeters back from the inner table of the frontal bone. The mean distance from the tumor to inner table was 2.8 cm (range 1.3-3.8 cm). Mean tumor dimensions were 3.0 cm (transverse), 3.5 cm (anterior-posterior), and 2.2 cm (craniocaudal). Average operative time was 557 min. No cases had new T2/fluid-attenuated inversion recovery magnetic resonance imaging signal of the inferior frontal lobe to indicate retraction injury. CONCLUSION The tailored extended bifrontal craniotomy for anterior skull base tumors provides adequate access to the anterior cranial fossa and has replaced our standard extended bifrontal approach. Keeping the osteotomy cut lines outside of the orbit reduces orbital swelling and mechanical disruption of conjugate eye movements in the early postoperative period, while allowing for minimal frontal lobe retraction and providing sufficient surgical exposure along the anterior skull base.

scholarly journals Intraoperative Transillumination to Determine the Extent of Frontal Sinus in Subcranial Approach to Anterior Skull Base

Skull Base ◽  
2010 ◽  
Vol 21 (02) ◽  
pp. 071-074 ◽  
Author(s):  
Rajeev Sharan ◽  
Krishnakumar Thankappan ◽  
Subramania Iyer ◽  
Dilip Panicker ◽  
Moni Kuriakose
Keyword(s):  
Skull Base ◽  
Frontal Sinus ◽  
Anterior Skull Base

Frontal Sinus Window for Minimally Invasive Access to the Frontal Sinus and Anterior Skull Base

2012 ◽  
Vol 73 (S 01) ◽  
Author(s):  
Bradley Otto ◽  
Ricardo Carrau ◽  
Daniel Prevedello ◽  
Matthew Old ◽  
Danielle Lara ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Skull Base ◽  
Frontal Sinus ◽  
Anterior Skull Base ◽  
Minimally Invasive Access

scholarly journals Reconstruction of the anterior skull base with radial forearm free tissue transfer: case series and literature review

2016 ◽  
Vol 3 (2) ◽  
pp. 47
Author(s):  
Windy A. Olaya ◽  
Lauren T. Daly ◽  
Emily G. Clark ◽  
Thomas Scholz ◽  
Vincent Laurence ◽  
...  
Keyword(s):  
Literature Review ◽  
Skull Base ◽  
Case Series ◽  
Free Tissue Transfer ◽  
Anterior Skull Base ◽  
Tissue Transfer ◽  
Transfer Case ◽  
Radial Forearm
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