Current Status of Endoscopic Endonasal Surgery for Skull Base Meningiomas: Review of the Literature

Neurologia Medico-chirurgica
Masahiro ShinNobuhito Saito

Abstract

Endoscopic endonasal approach (EEA) is expected to be ideal for the paramedian ventral skull base meningiomas, allowing wide access to the ventral skull base regions and realizing early devascularization of the tumor without retraction of the brain. We searched clinical reports of EEA for skull base meningiomas, written in English language, published before October 2014, using the PubMed literature search on the website. Skull base meningiomas are subdivided by the site of occurrence, olfactory groove (8 articles including 80 cases), tuberculum sellae (14 articles, 153 cases), cavernous sinus (2 articles, 8 cases), petroclival region (4 articles, 10 cases), and craniofacial region (2 articles, 5 cases), and the surgical outcomes of EEA were analyzed. In anterior skull base regions, EEA contributed to effective improvement of the symptoms in small and round-shaped meningiomas, but 25% of the patients had postoperative cerebrospinal fluid rhinorrhea. In cavernous sinus and petroclival regions, successful surgical removal largely depended on tumor consistency, and the extent of the surgical resection proportionally increased the risks of serious complications. Thus, judicious endoscopic resection with adjuvant radiotherapy or radi...Continue Reading

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Citations

Aug 10, 2018·Cephalalgia : an International Journal of Headache·Franziska GuentherMichael Jm Fischer
Jul 23, 2019·International Forum of Allergy & Rhinology·Eric W WangCarl H Snyderman
Feb 3, 2018·Journal of Neurosurgery. Pediatrics·Robert C RennertMichael L Levy

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Methods Mentioned

BETA
surgical resection
biopsy
dissect
dissection

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