Book contents
- Integrated Management of Complex Intracranial Lesions
- Integrated Management of Complex Intracranial Lesions
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Section I Endoscopic Endonasal (EN) Combined Approaches
- Section II Open Combined Approaches
- Chapter 6 Combined Transcranial Approach for Tumor Resection and Anterior Circulation Vascular Bypass
- Chapter 7 Hybrid/Combined Strategies for Vestibular Schwannomas
- Chapter 8 Transchoroidal, Subchoroidal, and Combined Approaches to the Third Ventricle
- Chapter 9 Combined Orbitofrontal Craniotomy and Direct Orbital Decompression
- Chapter 10 Transbasal and Transfacial Approach for Paranasal and Anterior Cranial Fossa Tumors
- Chapter 11 Combined Middle Fossa Craniotomy and Mastoidectomy for Cerebrospinal Fluid Leak Repair and Encephalocele Resection
- Chapter 12 Transcochlear and Extended/Combined Transcochlear Approaches for Complex Tumors of the Skull Base and Posterior Cranial Fossa
- Chapter 13 Combined Retrosigmoid and Orbitozygomatic Approach
- Chapter 14 Combined Retrosigmoid and Limited Anterior Petrosectomy (“Reverse Petrosectomy”)
- Chapter 15 Combined Suboccipital Craniotomy and Neck Dissection
- Chapter 16 Combined Petrosal Approach
- Chapter 17 Combined Keyhole Paramedian Supracerebellar-Transtentorial Approach
- Chapter 18 Combined Multi-portal “Pull-Through” Keyhole Craniotomy
- Chapter 19 Combined Keyhole Craniotomies for Multifocal or Multiple Lesions
- Chapter 20 Combined Microsurgical and Endovascular Treatment of Cerebrovascular and Skull Base Pathology
- Chapter 21 Combined Transsylvian-Subtemporal Approach to Anterior Circulation and Basilar Apex Aneurysms
- Index
- References
Chapter 10 - Transbasal and Transfacial Approach for Paranasal and Anterior Cranial Fossa Tumors
from Section II - Open Combined Approaches
Published online by Cambridge University Press: 05 October 2021
Edited by
Book contents
- Integrated Management of Complex Intracranial Lesions
- Integrated Management of Complex Intracranial Lesions
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Section I Endoscopic Endonasal (EN) Combined Approaches
- Section II Open Combined Approaches
- Chapter 6 Combined Transcranial Approach for Tumor Resection and Anterior Circulation Vascular Bypass
- Chapter 7 Hybrid/Combined Strategies for Vestibular Schwannomas
- Chapter 8 Transchoroidal, Subchoroidal, and Combined Approaches to the Third Ventricle
- Chapter 9 Combined Orbitofrontal Craniotomy and Direct Orbital Decompression
- Chapter 10 Transbasal and Transfacial Approach for Paranasal and Anterior Cranial Fossa Tumors
- Chapter 11 Combined Middle Fossa Craniotomy and Mastoidectomy for Cerebrospinal Fluid Leak Repair and Encephalocele Resection
- Chapter 12 Transcochlear and Extended/Combined Transcochlear Approaches for Complex Tumors of the Skull Base and Posterior Cranial Fossa
- Chapter 13 Combined Retrosigmoid and Orbitozygomatic Approach
- Chapter 14 Combined Retrosigmoid and Limited Anterior Petrosectomy (“Reverse Petrosectomy”)
- Chapter 15 Combined Suboccipital Craniotomy and Neck Dissection
- Chapter 16 Combined Petrosal Approach
- Chapter 17 Combined Keyhole Paramedian Supracerebellar-Transtentorial Approach
- Chapter 18 Combined Multi-portal “Pull-Through” Keyhole Craniotomy
- Chapter 19 Combined Keyhole Craniotomies for Multifocal or Multiple Lesions
- Chapter 20 Combined Microsurgical and Endovascular Treatment of Cerebrovascular and Skull Base Pathology
- Chapter 21 Combined Transsylvian-Subtemporal Approach to Anterior Circulation and Basilar Apex Aneurysms
- Index
- References
Summary
The transbasal approach has historically been a work-horse for access to lesions in the anterior fossa, orbit, nasal cavity, paranasal sinuses, pterygopalatine fossa, and pituitary fossa. When combined with a transfacial route, increased visualization and access is provided to deeper structures with minimal brain retraction and decreased risk to neural and vascular structures. Due to the complexity of this approach, oftentimes requiring multiple surgical teams participating, the decision to utilize it should be made on a case-by-case basis after a multidisciplinary discussion. This chapter discusses the indications, anatomical, and surgical details required to treat benign and malignant neoplasms involving the anterior skull base, paranasal sinuses, and potentially the orbits.
Keywords
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- Information
- Integrated Management of Complex Intracranial LesionsOpen, Endoscopic, and Keyhole Techniques, pp. 104 - 110Publisher: Cambridge University PressPrint publication year: 2021
References
Patel, SG, Singh, B, Polluri, A, et al. Craniofacial surgery for malignant skull base tumors. Cancer. 2003;98(6):1179–87.CrossRefGoogle ScholarPubMed
Feiz-Erfan, I, Spetzler, RF, Horn, EM, et al. Proposed classification for the transbasal approach and its modifications. Skull Base. 2008;18(1):29–47.CrossRefGoogle ScholarPubMed
Jittapiromsak, P, Wu, A, Deshmukh, P, et al. Comparative analysis of extensions of transbasal approaches: effect on access to midline and paramedian structures. Skull Base. 2009;19(6):387–99.Google Scholar
Kim, SR, Lee, JW, Han, YS, Kim, HK. Transfacial surgical approaches to secure wide exposure of the skull base, transfacial surgical approaches to secure wide exposure of the skull base. Arch Craniofac Surg. 2015;16(1):17–23.CrossRefGoogle ScholarPubMed
Spetzler, RF, Herman, JM, Beals, S, Joganic, E, Milligan, J. Preservation of olfaction in anterior craniofacial approaches. Journal of Neurosurgery. 1993;79(1):48–52.CrossRefGoogle ScholarPubMed