Abstract | OBJECTIVE: Nasal endoscope has been used increasingly during skull base surgery. However, most of endoscopic surgery limited to the repair of cerebrospinal rhinorrhea, decompression of traumatic optic nerve, hypophysectomy, etc. This study was undertaken to determine whether endoscopic endonasal approach was safe and effective for the resection of tumors located in petroclival region and infratemporal fossa. METHODS: RESULTS: Total tumor removal was obtained in 15 cases, subtotal removal in 2 case. With follow-up of 5 to 43 months, 1 case with chordoma was recurrent 5 months later postoperatively and underwent reoperation subsequently. The other cases with benign tumors were no recurrence. All of 5 cases with malignant tumors followed up for longer than 2 years were no recurrence and death. The complications included subarachnoid hemorrhage in 1 patient, transient cerebrospinal leakage in 2 cases. CONCLUSIONS: The endoscopic endonasal surgery provides satisfied treatment for selected tumors of petroclival region and infratemporal fossa. This approach promises a simple and rapid access to petroclival region and infratemporal fossa. It is a safe, minimally invasive and efficient procedure. Using neuronavigation system, it is helpful to determining anatomical landmark and removing the tumor completely and securely.
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Authors | Qiu-hang Zhang, Hai-sheng Liu, Feng Kong |
Journal | Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery
(Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi)
Vol. 40
Issue 7
Pg. 488-92
(Jul 2005)
ISSN: 1673-0860 [Print] China |
PMID | 16200953
(Publication Type: Evaluation Study, Journal Article)
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Topics |
- Adult
- Aged
- Chordoma
(surgery)
- Endoscopy
(methods)
- Female
- Humans
- Male
- Meningioma
(surgery)
- Middle Aged
- Nose
(surgery)
- Petrous Bone
(surgery)
- Skull Base Neoplasms
(surgery)
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