Giant nasofrontal meningioma: endoscopic and transcranial approach followed by microvascularized vastus laterallis flap reconstruction

Miranda, Pablo; Simal, Juan Antonio; Plaza, Estela; Sanroman, Laila Pérez de; Pérez, A. Rey; Thioné, Alessandro

doi:10.1007/s00381-020-04684-6

Cited by 3 publications

(4 citation statements)

References 22 publications

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“…Additionally, 5 studies utilized EEA as a surgical stage. [38][39][40][41][42] A complete description can be found in (Table 3).…”

Section: Approaches For Tumor Resectionmentioning

confidence: 99%

“…Transient cranial nerve 3 deficit, temporary somatotropic axis and gonadotropic insufficiency treated with testosterone replacement therapy Almefty et al 3 When a total petrosectomy is planned -Miranda et al 38 Large intranasal and intracerebral components suitable for endoscopic-thentranscranial resection…”

Section: No Complicationsmentioning

confidence: 99%

“…Juratli et al 33 Right temporal fossa, petroclivical region 1st: Suboccipital craniotomy; 2nd: Frontotemporal craniotomy Arivazha gan et al 34 --Wu et al 35 Petroclivical meningioma 1st: Supratentorial tumor excision; 2nd: Retrosigmoid approach Aras et al 36 Sylvian fissure (located in the distal region of the sylvian fissure in both patients) 1st: Right temporal craniotomy; 2nd: Right pterional approach Nakamur a et al 37 Ventral to brainstem 1st: Right lateral suboccipital retrosigmoid craniectomy; 2nd: right fronto-lateral craniotomy Almefty et al 3 Petroclival 1st: preparation of transpetrosal total petrosectomy approach 2nd: tumor resection Miranda et al 38 Olfactory groove with nasal cavity invasion 1st: Endoscopic endonasal 2nd: Frontotemporal craniotomy Attia et al 39 Spheno-orbital: infratemporal fossa, pterygopalatine fossa, sphenoid sinus, and ethmoid sinus 1st: Frontotemporal orbitozygomatic 2nd: Endoscopic endonasal Koutouro usiou et al 40 Olfactory groove 1st: Endoscopic endonasal 2ndL Endoscopic endonasal Sivakuma r et al 41 Cavernous sinus, Meckel's cave, petroclival Retrosigmoid, pterional, minipterional and endoscopic endonasal debulking (occurred after craniotomy in 2 cases, before in 1 case)…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Additionally, five studies utilized EEA as a surgical stage. [38][39][40][41][42] A complete description can be found in ►Table 3. Based on meningioma locations, group III has a higher rate of achieving Simpson resection grade I and II, while group I has a higher rate of Simpson resection grades III and IV (►Supplementary Table S1).…”

Section: Approaches For Tumor Resectionmentioning

confidence: 99%

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Staged Resection of Difficult-to-Treat Intracranial Meningiomas: A Systematic Review of the Indications, Surgical Approaches, and Postoperative Outcomes

Gendreau

Kuo

Patel

et al. 2023

J Neurol Surg B Skull Base

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Introduction: Meningiomas are extra-axial intracranial tumors that are characterized as benign and slow-growing intracranial tumors of the dura. Large meningiomas encroach on critical vascular and neural structures, sometimes making gross total resection challenging. Multi-staged surgeries are becoming increasingly utilized as they can help improve safe resection while minimizing adverse sequela. Methods: PubMed, Scopus and Web of Science databases were queried to identify articles reporting resections of intracranial meningiomas using a multi-staged approach, and articles were screened for possible inclusion in a systematic process performed by two authors. Results: Of 118 identified studies, 36 describing 169 patients (mean age 42.6±21.3 years) met inclusion/exclusion criteria. Petroclival lesions comprised 57% of cases, with the most common indications for a multi-staged approach being large size, close approximation of critical neurovascular structures, minimization of brain retraction, identification and ligation of deep vessels feeding the tumor, and resection of residual tumor found on postoperative imaging. Most second stage surgeries occurred within 3 months of the index surgery. Few complications were reported and multi-staged resections appeared to be well tolerated overall. Conclusions: Current literature suggests multi-staged approaches for meningioma resection are well-tolerated. However, there is insufficient comparative evidence to draw definitive conclusions about its advantages over an unstaged approach. There are similarly insufficient data to generate an evidence-based decision-making framework for when a staged approach should be employed. This highlights the need for collaborative efforts amongst skull base surgeons to establish an evidentiary to support the use of staged approaches.

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“…Additionally, 5 studies utilized EEA as a surgical stage. [38][39][40][41][42] A complete description can be found in (Table 3).…”

Section: Approaches For Tumor Resectionmentioning

confidence: 99%

Section: No Complicationsmentioning

confidence: 99%