Preservation of Olfaction in Olfactory Groove Meningiomas with Stereotactic Radiosurgery

Azmi-Ghadimi, H.; Jacobs, Alexander; Cathcart, C.; Schulder, Michael

doi:10.1159/000078112

Cited by 2 publications

(4 citation statements)

References 29 publications

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“…ise fossa cranii anterior'a cerrahi yaklaşımlarda modifikasyonlar yapılarak unilateral lezyonlu vakalarda koku duyusunun korunabileceği ve seçilmiş vakalarda bu yapıların zarar görmeden tedavi edilebileceğini bildirmiştir (10). Stereotaksik radiosurgery yöntemi ile de olfactor menengiomlarının tedavisinde bu yapıların intakt kalması için alternatif oluşturmuştur (11,12). Kafa travması olan anozmi hastalarında MR görüntüleme ile bu yapılarda hasar olup olmadığının araştırılmasının öne-mini savunmuşlardır.…”

Section: Discussionunclassified

Bulbus Olfactorius, Tractus Olfactorius, Sulcus Olfactorius ve Trigonum Olfactorium Morfometrisi: Anatomik Çalışma

Ayhan;KAHİLOĞULLARI¹

2009

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Section: Discussionunclassified

Bulbus Olfactorius, Tractus Olfactorius, Sulcus Olfactorius ve Trigonum Olfactorium Morfometrisi: Anatomik Çalışma

Ayhan;KAHİLOĞULLARI¹

2009

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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“…Of 107 unique results, 45 met criteria for inclusion in full-text review (Figure 1). Of these 7 met inclusion/exclusion criteria [12][13][14][15][16][17][18] for inclusion in the qualitative meta-analysis and 6 met criteria for quantitative meta-analysis. [13][14][15][16][17][18] The most common reasons for exclusion were incorrect article format (n=15), incorrect meningioma location (n=15), and non-comparative study (n=6), or nonclinical study (n=2).…”

Section: Literature Searchmentioning

confidence: 99%

“…versus unilateral approaches (n=235 patients, Tables 4 and 5). 12,14,17,18 All 7 included studies were considered Level III Evidence. Mean age across all patients was 55.0 ± 24.6 years and 94 (32.6%) patients were male.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Of the seven studies (►Table 1), three were retrospective series comparing EEA to TCA (n ¼ 53 patients, ►Tables 2 and 3), 13,15,16 and four were retrospective series comparing bilateral versus unilateral approaches (n ¼ 235 patients, ►Tables 4 and 5). 12,14,17,18 All seven included studies were considered level III evidence. Mean age across all patients was 55.0 AE 24.6 years and 94 (32.6%) patients were male.…”

Section: Literature Searchmentioning

confidence: 99%

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Surgical Approaches to Resection of Olfactory Groove Meningiomas: Comparative Meta-analysis of the Endoscopic Endonasal versus Transcranial and Unilateral versus Bilateral Approaches

Brown,

Pennington,

Patel

et al. 2024

J Neurol Surg B Skull Base

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Here we systematically review the extant literature to highlight the advantages of bilateral versus unilateral approaches and endoscopic endonasal (midline) approaches versus transcranial approaches for olfactory groove meningiomas, focusing on complications, extent of resection, and local recurrence rates. Methods Three databases were queried to identify all primary prospective trials and retrospective series comparing outcomes following endoscopic endonasal versus transcranial approaches and unilateral versus bilateral craniotomy for surgical resection of olfactory groove meningiomas. All articles were screened by two independent authors and selected for formal analysis according to predefined inclusion/exclusion criteria. Results: Seven studies comprising 288 total patients (mean age 55.0 ± 24.6 years) met criteria for inclusion. In the three comparing the endoscopic endonasal (n=21) versus transcranial (n=32) approaches, there was no significant difference between the two with respect to gross total resection (p=0.34) or rates of Simpson Grade 1 resection (p=0.69). EEA demonstrated higher rates of overall complications (p<0.01) including postoperative infection (p=0.03). In the four studies comparing bilateral (n=117) versus unilateral approaches (n=118), overall complication rates (p<0.01) and disease recurrence (p=0.01) were higher with bilateral approaches. All surgery-related mortalities also occurred in the bilateral cohort (n=7, 7.14%). Gross total resection (p=0.63) and Simpson grade (p=0.48) were comparable between approaches. Olfaction preservation was superior for unilateral approaches (p<0.01). Conclusions Though the literature is limited, current evidence suggests that the EEA may be favorable over conventional craniotomy for select olfactory groove meningioma patients. Where craniotomy is used, unilateral approaches appear to reduce complications and the risk of olfaction loss

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Preservation of Olfaction in Olfactory Groove Meningiomas with Stereotactic Radiosurgery

Cited by 2 publications

References 29 publications

Bulbus Olfactorius, Tractus Olfactorius, Sulcus Olfactorius ve Trigonum Olfactorium Morfometrisi: Anatomik Çalışma

Bulbus Olfactorius, Tractus Olfactorius, Sulcus Olfactorius ve Trigonum Olfactorium Morfometrisi: Anatomik Çalışma

Surgical Approaches to Resection of Olfactory Groove Meningiomas: Comparative Meta-analysis of the Endoscopic Endonasal versus Transcranial and Unilateral versus Bilateral Approaches

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