Journal Article10.3171/2014.3.JNS131521
The endoscopic endonasal approach for the management of craniopharyngiomas: a series of 103 patients.
Luigi Maria Cavallo,Giorgio Frank,Paolo Cappabianca,Domenico Solari,Diego Mazzatenta,Alessandro Villa,Matteo Zoli,Alfonso Iodice D'Enza,Felice Esposito,Ernesto Pasquini +9 more
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TL;DR: The endoscopic endonasal approach has become a valid surgical technique for the management of craniopharyngiomas and provides an excellent corridor to infra- and supradiaphragmatic midline craniophileomas, including themanagement of lesions extending into the third ventricle chamber.
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Abstract: Object Despite their benign histological appearance, craniopharyngiomas can be considered a challenge for the neurosurgeon and a possible source of poor prognosis for the patient. With the widespread use of the endoscope in endonasal surgery, this route has been proposed over the past decade as an alternative technique for the removal of craniopharyngiomas. Methods The authors retrospectively analyzed data from a series of 103 patients who underwent the endoscopic endonasal approach at two institutions (Division of Neurosurgery of the Universita degli Studi di Napoli Federico II, Naples, Italy, and Division of Neurosurgery of the Bellaria Hospital, Bologna, Italy), between January 1997 and December 2012, for the removal of infra- and/or supradiaphragmatic craniopharyngiomas. Twenty-nine patients (28.2%) had previously been surgically treated. Results The authors achieved overall gross-total removal in 68.9% of the cases: 78.9% in purely infradiaphragmatic lesions and 66.3% in lesions involving the supradi...
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Citations
ICAR: endoscopic skull-base surgery.
Eric W. Wang,Adam M. Zanation,Paul A. Gardner,Theodore H. Schwartz,Jean Anderson Eloy,Nithin D. Adappa,Martin Bettag,Benjamin S. Bleier,Paolo Cappabianca,Ricardo L. Carrau,Roy R. Casiano,Luigi Maria Cavallo,Charles S. Ebert,Ivan H. El-Sayed,James J. Evans,Juan C. Fernandez-Miranda,Adam J. Folbe,Sébastien Froelich,Fred Gentili,Richard J. Harvey,Richard J. Harvey,Peter H. Hwang,John A. Jane,Daniel F. Kelly,David N. Kennedy,Engelbert Knosp,Devyani Lal,John Y K Lee,James K. Liu,Valerie J. Lund,James N. Palmer,Daniel M. Prevedello,Rodney J. Schlosser,Raj Sindwani,C. Arturo Solares,Abtin Tabaee,Charles Teo,Parthasarathy D. Thirumala,Brian D. Thorp,Eduardo Vellutini,Ian J. Witterick,Bradford A. Woodworth,Peter-John Wormald,Carl H. Snyderman +43 more
TL;DR: To consolidate and critically appraise the available literature, experts in skull‐base surgery have produced the International Consensus Statement on Endoscopic Skull‐Base Surgery (ICAR:ESBS).
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Evolution of the graded repair of CSF leaks and skull base defects in endonasal endoscopic tumor surgery: trends in repair failure and meningitis rates in 509 patients.
Andrew R. Conger,Fan Zhao,Xiaowen Wang,Amalia Eisenberg,Chester Griffiths,Felice Esposito,Ricardo L. Carrau,Garni Barkhoudarian,Daniel F. Kelly +8 more
TL;DR: A graded approach to skull base repair after endonasal surgery remains valid in the endoscopic era, and data suggest that buttresses are beneficial for repair of most grade 1 and 2 leaks and all grade 3 leaks.
Endoscopic, Endonasal Extended Transsphenoidal Transplanum Transtuburculum Approach for Resection of Suprasellar Lesions: 892
TL;DR: A purely endoscopic endonasal approach to suprasellar supradiaphragmatic lesions is a feasible minimally invasive alternative to craniotomy and the risk of CSF leakage is low and lumbar drainage can be avoided.
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The Posterior Pedicle Inferior Turbinate Flap: A New Vascularized Flap for Skull Base Reconstruction
Felipe S. G. Fortes,Ricardo L. Carrau,Carl H. Snyderman,Allan Vescan,Daniel M. Prevedello,Arlan Mintz,Paul A. Gardner,Amin B. Kassam +7 more
TL;DR: The PPITF is a viable reconstructive option for patients with skull base defects of a limited size defect and in whom the HBF is not available.
131
Preoperative risk factors for postoperative complications in endoscopic pituitary surgery: a systematic review
Daniel J. Lobatto,Friso de Vries,Amir H Zamanipoor Najafabadi,Alberto M. Pereira,Wilco C. Peul,Thea P. M. Vliet Vlieland,Nienke R. Biermasz,Wouter R van Furth +7 more
TL;DR: Older age and intraventricular extension were associated with increased postoperative complications of endoscopic pituitary surgery, and it is not possible to comprehensively quantify risk factors for complications.
References
A novel reconstructive technique after endoscopic expanded endonasal approaches : Vascular pedicle nasoseptal flap
Gustavo Hadad,Luis Bassagasteguy,Ricardo L. Carrau,Juan C. Mataza,Amin B. Kassam,Carl H. Snyderman,Arlan Mintz +6 more
TL;DR: In patients with large dural defects of the anterior and ventral skull base after endonasal skull base surgery, there is a significant risk of a postoperative cerebrospinal fluid leak after reconstruction.
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Endoscopic endonasal transsphenoidal surgery: experience with 50 patients.
Hae-Dong Jho,Ricardo L. Carrau +1 more
TL;DR: Postoperatively, all patients who had undergone endonasal endoscopic surgery had unobstructed nasal airways with minimal discomfort and more than half of the patients required only an overnight hospitalization.
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Expanded endonasal approach: the rostrocaudal axis. Part I. Crista galli to the sella turcica
TL;DR: Endoscopic, expanded endonasal approaches to rostral anterior skull base lesions are feasible and hold great potential for decreased morbidity.
Total removal of craniopharyngiomas. Approaches and long-term results in 144 patients.
TL;DR: The results of this series suggest that primary total removal of craniopharyngiomas yields the best long-term outcome for the patient.
756
Endoscopic reconstruction of the cranial base using a pedicled nasoseptal flap.
Amin B. Kassam,Ajith J. Thomas,Ricardo L. Carrau,Carl H. Snyderman,Allan Vescan,Daniel M. Prevedello,Arlan Mintz,Paul A. Gardner +7 more
TL;DR: The Hadad-Bassagasteguy Flap (HBF) is a neurovascular pedicled flap of the nasal septum mucoperiosteum and mucoperichondrium based on the nasoseptal artery as mentioned in this paper.
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