Evolution of Sinonasal Symptoms Following Endoscopic Anterior Skull Base Surgery

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...

Olfactory and sinonasal outcomes in endoscopic transsphenoidal skull-base surgery.

BACKGROUND Endoscopic anterior skull-base surgery has been previously suggested to cause a significant deterioration in olfactory function. Given the impact on quality of life, the objective of this study was to determine the effect of a unilateral middle-turbinate-sacrificing approach on olfactory function and sinonasal outcome. METHODS Prospective cohort study comparing olfactory and sinona...

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...

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...