Anterior skull-base surgery

Fletcher, Aaron M.; Marentette, Lawrence J.

doi:10.1097/moo.0000000000000073

Cited by 5 publications

(2 citation statements)

References 10 publications

(16 reference statements)

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“…In the last two decades, anterior skull base surgery has evolved rather rapidly owing to improved surgical techniques [16, 17]. Advancements have led to reduced mortality and morbidity.…”

Section: Discussionmentioning

confidence: 99%

Preliminary cross-sectional reliability and validity of the Skull Base Inventory (SBI) quality of life questionnaire

Larjani

Monteiro

Witterick

et al. 2016

Journal of Otolaryngology - Head & Neck Surgery

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BackgroundThe Skull Base Inventory (SBI) was developed to assess the quality of life of patients undergoing endoscopic or open approaches for anterior and central skull base pathologies. In this study, we sought to establish the discriminative and evaluative properties for this instrument.MethodsThe SBI was administered in a cross-sectional fashion to patients who previously had skull base surgery after treatment and then again 2 weeks after completing the instrument. Internal consistency, test-retest reliability, and construct validity were determined. Four constructs were evaluated with the following a priori hypotheses: lower scores will be seen in patients with 1.malignant versus benign histology, 2.a history of radiation versus none, and those with 3.recurrences versus no recurrence, and 4.items deemed relevant versus irrelevant by respondents.ResultsFifty-two patients completed the questionnaire; 32 had endoscopic and 20 open surgeries. Internal consistency was good (>0.7 and <0.95) for all domains except one. Test-retest reliability was good (>0.70) for 38 of 41 items. Four constructs were evaluated and three were consistent with a priori hypotheses (p < 0.05). The instrument failed to confirm the hypothesis that malignant tumours are associated with poorer scores than benign.ConclusionsThe SBI demonstrated preliminary reliability and validity for discriminative use.

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“…In the last two decades, anterior skull base surgery has evolved rather rapidly owing to improved surgical techniques [16, 17]. Advancements have led to reduced mortality and morbidity.…”

Section: Discussionmentioning

confidence: 99%

Preliminary cross-sectional reliability and validity of the Skull Base Inventory (SBI) quality of life questionnaire

Larjani

Monteiro

Witterick

et al. 2016

Journal of Otolaryngology - Head & Neck Surgery

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“…Furthermore, a tumor's oncological size, aggressiveness, and irregular expansion make surgical resection of this area highly challenging (1)(2)(3). Technical advancements in microscopic development such as the transition from microscopic to endoscopic surgery since the late 1990s benefit from increased efficiency and sufficient surgical field of view that allows more effective surgical treatment of tumors (4)(5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

The use of three-dimensional endoscope in transnasal skull base surgery: A single-center experience from China

et al. 2022

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ObjectiveThe development of skull base surgery in the past decade has been influenced by advances in visualization techniques; recently, due to such improvements, 3D endoscopes have been widely used. Herein, we address its effect for transnasal endoscopic skull base surgery.MethodsA total of 63 patients who under endoscopic endonasal surgery (EES) with 3-D endoscope were retrospectively reviewed, including pituitary adenomas, craniopharyngiomas, meningiomas, Rathke’s cleft cysts, and chordomas. According to different lesions, transsellar approach (24 cases), transsphenoidal–transtuberculum approach (14 cases), transclival approach (6 cases), and transpterygoid approach (19 cases) were selected.ResultsTotal removal of tumors was achieved in 56 patients (88.9%) and subtotal removal in 7 cases (11.1%). Complications included diabetes insipidus in seven patients (11.1%), cerebrospinal fluid (CSF) leakage in two patients (3.2%), major vascular injury occurred in one patient (1.6%), cranial nerve injury in nine patients (14.3%), and meningitis in two patients (3.2%). There was no mortality in the series. All patients recovered and were back to normal daily life, and no tumor recurrence or delayed CSF leakage was detected during the follow-up (2–13 months, mean 7.59 months).ConclusionsVia 3D EES, it improved depth perception and preserved important neurovascular tissue when tumors were removed, which is important for improving the operative prognosis.

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Skull Base

Nagarkar,

Dange,

Singh

2023

Atlas of Head Neck and Skull-Base Surgery

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Anterior skull-base surgery

Abstract: This article summarizes the most current opinion in the field of anterior skull-base surgery. Recent literature regarding new anatomic insights, surgical techniques (resection and reconstruction), and outcomes data are outlined.

Cited by 5 publications

References 10 publications

Preliminary cross-sectional reliability and validity of the Skull Base Inventory (SBI) quality of life questionnaire

Preliminary cross-sectional reliability and validity of the Skull Base Inventory (SBI) quality of life questionnaire

The use of three-dimensional endoscope in transnasal skull base surgery: A single-center experience from China

Skull Base

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