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.