Expanded endoscopic endonasal approaches to skull base meningiomas

J. Drew Prosser, John R. Vender, Cargill H. Alleyne, C. Arturo Solares

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

Anterior cranial base meningiomas have traditionally been addressed via frontal or frontolateral approaches. However, with the advances in endoscopic endonasal treatment of pituitary lesions, the transphenoidal approach is being expanded to address lesions of the petrous ridge, anterior clinoid, clivus, sella, parasellar region, tuberculum, planum, olfactory groove, and crista galli regions. The expanded endoscopic endonasal approach (EEEA) has the advantage of limiting brain retraction and resultant brain edema, as well as minimizingmanipulation of neural structures. Herein, we describe the techniques of transclival, transphenoidal, transplanum, and transcribiform resections of anterior skull base meningiomas. Selected cases are presented.

Original languageEnglish (US)
Pages (from-to)147-156
Number of pages10
JournalJournal of Neurological Surgery, Part B: Skull Base
Volume73
Issue number3
DOIs
StatePublished - Jun 2012

Keywords

  • Endonasal
  • Endoscopic
  • Meningioma
  • Skull base

ASJC Scopus subject areas

  • Clinical Neurology

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