Endoscopic endonasal surgery for cranial base tumor.
- Author:
Tao GUO
1
;
Jingwu SUN
;
Yinfeng WANG
;
Jiaqiang SUN
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Anhui Provineial Hospital, Hefei, 230001, China.
- Publication Type:Journal Article
- MeSH:
Adult;
Aged;
Chordoma;
surgery;
Endoscopy;
Esthesioneuroblastoma, Olfactory;
surgery;
Female;
Humans;
Male;
Middle Aged;
Nose;
surgery;
Retrospective Studies;
Skull Base Neoplasms;
surgery
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2012;26(14):644-646
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the application of endoscopic endonasal approach in surgery for skull base tumor.
METHOD:From August 2000 to February 2009, retrospective analyses were performed on clinical data of 21 patients with skull base lesions treated by endoscopic endonasal surgery. There were 3 chordoma, 6 olfactory neuroblastoma, 4 squamous cancer, 5 malignant melanoma, 1 mucoepidermoid carcinoma, 2 sphenoidal malignant adenoma.
RESULT:Total tumor removal was obtained in 21 cases,subtotal removal in 2 cases. With follow up of 24 to 108 months, 4 cases were recurred, 5 cases were dead. The complications included cerebrospinal fluid (CSF) leak in 2 patients, intracranial infection after the endoscopic surgery in 1 patient. In the two patients with CSF leak, one case cured by internal medicine and another cured by endoscopic surgery.
CONCLUSION:The endoscopic endonasal surgery could provide sufficient treatment for skull base tumor, and is a safe, minimally invasive and efficient procedure, but indication should be exactitude selected.