Endoscopic Anterior Skull Base Surgery

Endoscopic Skull Base Surgery

Endoscopic skull base surgery has undergone rapid advancement in the past decade moving from pituitary surgery to suprasellar lesions and now to a myriad of lesions extending from the cribriform plate to C2 and laterally out to the infratemporal fossa and petrous apex. Evolution of several technological advances as well as advances in understanding of endoscopic anatomy and the development of s...

Advances in endoscopic sinonasal and anterior skull base surgery.

Endoscopic transnasal surgery is rapidly replacing more radical external 'open' procedures. At Groote Schuur Hospital, Cape Town, we performed 94 advanced endoscopic sinonasal and anterior skull base procedures over a 2-year period. Most of these would previously have been performed using large external incisions requiring more invasive surgery with significantly higher morbidity. Endoscopic su...

Endoscopic Surgery of the Paranasal Sinuses and Anterior Skull Base

Skull Base Endoscopic-Assisted Surgery

Endoscopic-assisted surgery is becoming a more and more important tool in the neurosurgical armamentarium. This chapter provides a broad overview of the role of this technique in various skull base procedures. It starts with a historical perspec‐ tive followed by a thorough exploration of the various principles and techniques for different indications. Additionally, the topics of “minimally inv...

Anesthetic Considerations in Endoscopic Skull Base Surgery

This chapter discusses the unique challenges that endoscopic skull base surgery present to the neuroanesthesiologist. The neuroanesthesiology team plays a vital role in ensuring a safe outcome to this delicate surgery. Highly specialized endoscopic techniques and equipment, together with the use of sophisticated intraoperative monitoring, all mandate skillful anesthesia management that is tailo...