The effect of prior radiation on the success of ventral skull base reconstruction: A systematic review and meta‐analysis

Head & Neck ◽  
2021 ◽  
Author(s):  
Michael Yong ◽  
Yu Qi Wu ◽  
Shirley Su ◽  
Ehab Hanna ◽  
Eitan Prisman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Skull Base ◽  
Meta Analysis ◽  
Skull Base Reconstruction ◽  
Ventral Skull Base

Endoscopic Anterior Skull Base Reconstruction: A Meta-Analysis and Systematic Review of Graft Type

2020 ◽  
Vol 139 ◽  
pp. 460-470
Author(s):  
Arash Abiri ◽  
Parinaz Abiri ◽  
Khodayar Goshtasbi ◽  
Brandon M. Lehrich ◽  
Ronald Sahyouni ◽  
...  
Keyword(s):  
Systematic Review ◽  
Skull Base ◽  
Meta Analysis ◽  
Anterior Skull Base ◽  
Skull Base Reconstruction

Heterogeneity in Outcome Reporting in Endoscopic Endonasal Skull Base Reconstruction: A Systematic Review

2020 ◽  
Author(s):  
Christina Dorismond ◽  
Griffin D. Santarelli ◽  
Brian D. Thorp ◽  
Adam J. Kimple ◽  
Charles S. Ebert ◽  
...  
Keyword(s):  
Systematic Review ◽  
Skull Base ◽  
Meta Analysis ◽  
Reporting Guidelines ◽  
Csf Leak ◽  
Cochrane Library ◽  
Significant Heterogeneity ◽  
Endoscopic Endonasal ◽  
Skull Base Reconstruction ◽  
History Of

Abstract Objectives Presently, there are no standards for reporting outcomes of endoscopic endonasal skull base reconstruction (ESBR). This is problematic as a lack of consistent reporting makes synthesizing findings in systematic reviews and meta-analysis challenging. Thus, the aim of this study was to systematically review and describe the patterns of reporting outcomes in ESBR as a foundation for developing reporting guidelines. Study Design Present study is a systematic review. Methods Embase, PubMed, CINAHL, Cochrane Library, and Web of Science were searched for all publications with ≥25 patients and a focus on ESBR. The reporting patterns of each study's variables and outcomes were assessed. Results A total of 112 studies were included in the review. The most commonly reported demographic variables were the number of included patients (n = 112, 100%) and types of pathologies treated (n = 104, 92.9%). Meanwhile, the most routinely described preoperative variable was history of prior treatment (n = 48, 42.9%). Type of reconstruction was a commonly reported intraoperative variable (n = 110, 98.2%), though the rate of intraoperative cerebrospinal fluid (CSF) leak was noted in only 76 studies (67.9%). With regard to postoperative outcomes, postoperative CSF leak rate was routinely provided (n = 101, 90.2%), but reporting of other surgical complications was more inconsistent. Ultimately, of the 43 variables and outcomes reviewed, a median of 12 (range: 4–22) was reported in each study. Conclusions There is significant heterogeneity in the outcomes reported in studies relating to ESBR. This highlights the need for the development of standard reporting guidelines to minimize bias and improve interstudy comparability.

Sinonasal and ventral skull base Inflammatory pseudotumor: A systematic review

2014 ◽  
Vol 125 (4) ◽  
pp. 813-821 ◽  
Author(s):  
Stuti V. Desai ◽  
Eleonora F. Spinazzi ◽  
Christina H. Fang ◽  
Grace Huang ◽  
Senja Tomovic ◽  
...  
Keyword(s):  
Systematic Review ◽  
Skull Base ◽  
Inflammatory Pseudotumor ◽  
Ventral Skull Base

Caroticoclinoid Bar: A Systematic Review and Meta-Analysis of Its Prevalence and Potential Implications in Cerebrovascular and Skull Base Surgery

2019 ◽  
Vol 124 ◽  
pp. 267-276 ◽  
Author(s):  
Georgios P. Skandalakis ◽  
Christos Koutsarnakis ◽  
Nikos Pantazis ◽  
Aristotelis Kalyvas ◽  
Spyridon Komaitis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Skull Base ◽  
Skull Base Surgery ◽  
Meta Analysis

Invasive Giant Cell Tumor of the Lateral Skull Base: A Systematic Review, Meta-Analysis, and Case Illustration

2016 ◽  
Vol 96 ◽  
pp. 47-57 ◽  
Author(s):  
Jacob L. Freeman ◽  
Soliman Oushy ◽  
Jeffrey Schowinsky ◽  
Stefan Sillau ◽  
A. Samy Youssef
Keyword(s):  
Systematic Review ◽  
Skull Base ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Meta Analysis ◽  
Cell Tumor ◽  
Case Illustration ◽  
Lateral Skull Base

Pericranial Flap for Endoscopic Anterior Skull-Base Reconstruction

Neurosurgery ◽  
2010 ◽  
Vol 66 (3) ◽  
pp. 506-512 ◽  
Author(s):  
Mihir R. Patel ◽  
Rupali N. Shah ◽  
Carl H. Snyderman ◽  
Ricardo L. Carrau ◽  
Anand V. Germanwala ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Skull Base ◽  
Preoperative Planning ◽  
Cranial Base ◽  
Anterior Skull Base ◽  
Dural Defect ◽  
Skull Base Reconstruction ◽  
Pericranial Flap ◽  
Endonasal Reconstruction ◽  
Ventral Skull Base

Abstract BACKGROUND One of the major challenges of cranial base surgery is reconstruction of the dural defect and prevention of postoperative cerebrospinal fluid (CSF) fistula. The introduction of endoscopic techniques and an endonasal approach to the ventral skull base has created new challenges for reconstruction. OBJECTIVE We have developed an endoscopic pericranial flap (PCF) for skull base reconstruction and hereby present the initial cohort of patients who had endonasal reconstruction with a PCF after endoscopic skull base resection. We also demonstrate a method to radiographically incorporate anticipated skull base defects for preoperative planning of PCF length. METHODS Dural defects after endonasal skull base resection of invasive tumors were reconstructed with an onlay PCF (n = 10). We performed radiological studies to assist preoperative planning for where to make incisions while harvesting a PCF for anterior skull base, sellar, and clival defects. RESULTS Each of the 10 patients had excellent healing of their skull base and had no evidence of any postoperative cerebrospinal fluid leaks. Eight patients had radiation therapy without flap complications. Radiographic studies demonstrate that the adequate PCF length, covering defects of the anterior skull base, sellar, and clival defects are 11.31 to 12.44 cm, 14.31 to 15.57 cm, and 18.5 to 20.42 cm, respectively. CONCLUSION The PCF provides an option for endonasal reconstruction of cranial base defects and can be harvested endoscopically. Pre-operative radiographic evaluation may guide surgical planning. There is minimal donor site morbidity, and the flap provides enough surface area to cover the entire ventral skull base.

Role of Lumbar Drains in Contemporary Endonasal Skull Base Surgery: Meta-Analysis and Systematic Review

2016 ◽  
Vol 30 (6) ◽  
pp. 430-435 ◽  
Author(s):  
Brian D'Anza ◽  
Due Tien ◽  
Janalee K. Stokken ◽  
Pablo F. Recinos ◽  
Troy R. Woodard ◽  
...  
Keyword(s):  
Systematic Review ◽  
Skull Base ◽  
Skull Base Surgery ◽  
Meta Analysis
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