ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Endoscopic Skull Base Surgery Indications Continue to Expand

by Heather Lindsey • November 1, 2007

  • Tweet
  • Email
Print-Friendly Version

Endoscopic surgery provides a less invasive and highly visual approach to skull base tumors and can reduce morbidity compared with open surgery, according to the experts interviewed for this article. While the role of endoscopy continues to evolve as surgeons treat increasingly larger and more difficult skull base lesions, a number of contraindications and precautions need to be kept in mind.

You Might Also Like

  • Ethmoidal Arteries with Pedicled Septal Floor Rotational Flaps Are Ideal for Endoscopic Skull Base Reconstruction
  • Stereotactic Radiotherapy Treats Skull Base Tumors: Part 2 of
  • Endoscopic Resection of Esthesioneuroblastomas Shows Promising Results
  • Endoscopic Approach to Sinonasal Malignancies Stirs Debate
Explore This Issue
November 2007

An Evolution

Endoscopic skull base surgery has evolved from endoscopic sinus surgery, explained Brendan Stack, MD, Vice Chairman of the Department of Otolaryngology–Head and Neck Surgery, and Director of the Divisions of Head and Neck Oncology and Clinical Research at the University of Arkansas for Medical Sciences.

“It’s gone from taking care of sinus disease, to repairing brain fluid leaks, to removing small benign lesions in the skull base, to removing increasingly larger benign lesions, as well as many malignant lesions,” he said.

Endoscopic skull base surgery developed from using this technique to treat sinus inflammatory disease, orbital decompressions, epistaxis, and cerebrospinal fluid (CSF) leaks and to conduct endoscopic biopsy, said Martin J. Citardi, MD, a Cleveland Clinic Head and Neck Institute rhinologist.

Now, skull base indications are evolving across time and are different at various institutions, said Dr. Citardi. Overall, the medical community is realizing that endoscopic approaches are a viable treatment strategy for the management of skull base neoplasms, he said.

Skull Base Indications Growing

Endoscopic skull base surgery is most effective for smaller growths, although surgeons are pushing these limits and approaching lesions of different sizes, said Dr. Stack.

For example, juvenile nasal angiofibromas are large tumors filled with blood vessels, which, prior to improved endoscopic optics and ways of achieving hemostasis, needed open surgery for removal, said Dr. Stack. “Five years ago or more, those patients were destined to have an open operation because they would bleed so much,” he said.

Size is not necessarily a limiting factor for removing tumors, said Pete Batra, MD, Assistant Professor of Surgery at the Cleveland Clinic Head and Neck Institute.

Figure. Drs. Bert O'Malley (left) and Richard Smith at a robotic surgery training course. Dr. O'Malley is currently working on adapting the robot to skull base surgery.

click for large version
Figure. Drs. Bert O’Malley (left) and Richard Smith at a robotic surgery training course. Dr. O’Malley is currently working on adapting the robot to skull base surgery.

“The earlier literature has focused on smaller tumors because as you accrue experience you start with smaller growths and tackle increasingly larger tumors as time goes on,” he said. “We can now remove much larger tumors that are accessible by endoscope.”

Pages: 1 2 3 4 5 6 | Single Page

Filed Under: Head and Neck, Tech Talk Issue: November 2007

You Might Also Like:

  • Ethmoidal Arteries with Pedicled Septal Floor Rotational Flaps Are Ideal for Endoscopic Skull Base Reconstruction
  • Stereotactic Radiotherapy Treats Skull Base Tumors: Part 2 of
  • Endoscopic Resection of Esthesioneuroblastomas Shows Promising Results
  • Endoscopic Approach to Sinonasal Malignancies Stirs Debate

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Weaning Patients Off of PPIs
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Podcasts Becoming More Popular Method of Education for Otolaryngologists
    • How to Embrace Optimism in the Midst of the COVID-19 Pandemic
    • Tips on How to Approach Conversations with Patients about the COVID-19 Vaccine
    • Steps You Should Take to Protect Your Voice and Hearing During Telemedicine Sessions
    • Routine Postoperative Adjunct Treatments Unnecessary for Idiopathic Cerebrospinal Fluid Leaks

Polls

Have you spoken with your patients about receiving the COVID-19 vaccine?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.