Monostotic Fibrous Dysplasia of the Clivus: Image-Guided Endoscopic Endonasal Transsphenoidal Surgery

Abstract

Image-guided transsphenoidal endoscopic surgery is recommended for its safety and minimal invasiveness.

Fibrous Dysplasia of the Clivus

“…A localized painless expansion of the skull on one side is the commonest difference noted first by patients with craniofacial FD 14,24) . This bone swelling can lead to intracranial extension and central neurological manifestations, neurovascular entrapment, orbito-sino-nasal obstruction, recurrent sinusitis, epiphora, proptosis, malocclusion, and cosmetic deformity 3,5,17,25) . On involvement of basal cranium by FD, compressive cranial neuropathy that mainly affect the facial, auditive, trigeminal, olfactory, and visual function occurs from thickening and narrowing of neural canals and foramina 1,2,9,16,18) .…”

“…Clival FD without extension to the condyles can be removed with a conventional or endoscopic endonasal approach. However, in a significant percentage of cases, dysplastic lesions were excised incompletely 5) . Furthermore, since the disorder is more extensive than it appears on clinical examination, navigation-guided surgical strategies are indicated to learn the individual's anatomy and the intraoperative orientation 18) .…”

Imaging Findings in Fibrous Dysplasia of the clivus: Case Report

“…[3] Bildiğimiz kadarıyla literatürde sadece 27 klivus yerleşimli FD olgusu bildirilmiştir. [3][4][5][6][7][8][9][10][11][12][13] Adada ve Al-Mefty tarafından yapılan klivus yerleşimli FD'li sekiz olgu çalışması bugüne kadar bildirilen en büyük seridir. [5] Bu sekiz olgunun dördünde patolojik bulgulara dayanılarak tanı konulmuştur.…”

Endoscopic transnasal surgery for giant fibrous dysplasia of the skull base, spreading to the right orbital cavity and nasopharynx (a case report and literature review)

“…В последние годы появились публикации, описывающие успешное применение расширенного эндоскопического эндоназального доступа для хирургии фиброзной дисплазии костей основания черепа. Считается, что в руках опытного нейрохирурга эндоскопический эндоназальный доступ безопасен и эффективен [4,[19][20][21][22].…”

“…[22]. В настоящее время в доступной мировой литературе приведено около 20 наблюдений [4,20,21,[23][24][25][26].…”