Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-23T00:36:59.115Z Has data issue: false hasContentIssue false
  • English
  • Français

Endoscopic resection of skull base tumours utilising the ultrasonic dissector

Published online by Cambridge University Press:  12 April 2012

D E Lubbe ,
N Fisher-Jeffes  and
P Semple
D E Lubbe*
Affiliation:
Division of Otorhinolaryngology, University of Cape Town, South Africa
N Fisher-Jeffes
Affiliation:
Division of Neurosurgery, University of Cape Town, South Africa
P Semple
Affiliation:
Division of Neurosurgery, University of Cape Town, South Africa
*
Address for correspondence: Dr Darlene E Lubbe, Principal Specialist, Division of Otorhinolaryngology, H53, OMB, Groote Schuur Hospital, Anzio Rd, Observatory, Cape Town, 7925, Groote Schuur, South Africa E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

We report the use and benefits of the ultrasonic dissector in the resection of difficult skull base lesions.

Method:

Five case reports are presented, and the utilisation of ultrasonic dissectors in otorhinolaryngology is reviewed.

Results:

The ultrasonic dissector was found to be a useful tool during the endoscopic resection of poorly accessible skull base tumours. Safe dissection and complete removal of all five lesions were achieved without any vascular injury. To our knowledge, this is the first report of the use of the ultrasonic dissector for the resection of sinonasal and skull base tumours.

Conclusion:

The ultrasonic dissector was found to be particularly useful during the endoscopic transnasal approach to the petrous apex. During minimally invasive endonasal surgery, benefits include the length of the instrument, speed and precision of dissection, and low risk of vascular injury.

Keywords

Skull BaseNeoplasmsUltrasonicsSurgical ProceduresOperativeEndoscopic Surgical Procedure
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 6 , June 2012 , pp. 625 - 629
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Cirocchi, R, D'Ajello, F, Trastulli, S, Santoro, A, Di Rocco, G, Vendettuoli, D et al. Meta-analysis of thyroidectomy with ultrasonic dissector versus conventional clamp and tie. World J Surg Oncol 2010;8:112CrossRefGoogle ScholarPubMed
2Chatrath, P, Nouraei, SA, De Cordova, J, Patel, M, Saleh, HA. Endonasal endoscopic approach to the petrous apex: an image-guided quantitative anatomical study. Clin Otolaryngol 2007;32:255–60CrossRefGoogle Scholar
3Emam, TA, Cuschieri, A. How safe is high-power ultrasonic dissection? Ann Surg 2003;237:186–91CrossRefGoogle ScholarPubMed
4Mohebbi, AR, Daneshi, A, Emami, AR. Nasopharyngeal neuroendocrine carcinoma: a case report. Ear Nose Throat J 2008;87:E14Google ScholarPubMed