The authors review a prospectively accrued database of consecutive patients to assess the effectiveness of the off‐label routine use of intrathecal fluorescein to detect an intraoperative cerebrospinal fluid (CSF) leak during endoscopic endonasal skull base surgery. Patients were pretreated with intravenous dexamethasone and diphenhydramine prior to administration of 25 mg of fluorescein inject...

The paradigm for the management of epistaxis, specifically posterior epistaxis, has undergone significant changes in the recent past. Recent prospective and retrospective data has shown that the endonasal surgical management of posterior epistaxis is superior to posterior nasal packing and angiography/embolization with regards to various factors including pain, cost-effectiveness, risk and over...

Minimally invasive approaches are becoming increasingly popular to access the anterior skull base. With interdisciplinary cooperation, in particular endonasal endoscopic approaches have seen an impressive expansion of indications over the past decades. The more recently described transorbital approaches represent minimally invasive alternatives with a differing spectrum of access corridors. The...

Spheno-orbital meningiomas were historically treated by traditional craniotomies. However, in the past few years new endoscopic treatments have been successfully performed. In this study, we analyzed different indications for craniotomy and endoscopy, and the advantages and disadvantages of these procedures.Thirty patients with spheno-orbital meningiomas were operated on over 2 years, between 2...

OBJECTIVE The endonasal route often provides the most direct and safe approach to skull base pathology. In this article we review the literature with regard to management of the paranasal sinuses in the setting of skull base surgery. METHODS We describe our institutional experience and review the literature of concurrent management of the sinusitis in patients undergoing endoscopic skull base...

The endoscopic endonasal approach (EEA) is a widely accepted and commonly utilized approach for the resection of various pituitary tumors. While complications commonly include diabetes insipidus, cerebrospinal fluid leaks, and anterior lobe insufficiency cerebral vasospasm may also rarely occur. Herein, we report the unique case of a 44-year-old female who underwent uncomplicated endoscopic end...

Objective: This study aims to analyze the complications of endoscopic transsphenoidal surgery for pituitary neoplasms. Methods: 326 patients who underwent neuroendoscopic endonasal transsphenoidal surgery at the neurosurgery department of the First Affiliated Hospital of Chongqing Medical University from July 2012 to July 2015 were enrolled in this retrospective analysis. Results: Among the 326...

INTRODUCTION Modern advances in endonasal endoscopic surgery have expanded its utility in the management of malignant sinonasal tumours, and the degree to which cases are eligible. Knowledge of the indications, inclusion and exclusion criteria and imaging workup that empowers judicious patient selection is essential. This article discusses the endoscopic resection of malignant sinonasal tumours...

OBJECTIVES To analyse the results of Endonasal Endoscopic Dacrocystorhinostomy regarding complications and success rate. METHODS The prospective quasi-experimental study was conducted at the Departments of Otolaryngology and Ophthalmology of Islamic International Medical College Teaching Hospital, Rawalpindi, from August 2008 to July 2012. Patients presenting with epiphora and diagnosed with ...

Sinus mucoceles are benign, slowly enlarging, mucous-secreting, cystic lesions whose expansile growth may lead to compressive neuropathies. We present the case of a 70-year-old woman with a long-standing history of headaches and progressive ocular neuropathy who underwent an endoscopic resection of a large sphenoid sinus mucocele resulting in immediate improvement of her neurological symptoms. ...