The Use of the Olympus EndoArm for Spinal and Skull-based Transsphenoidal Neurosurgery

Eskandari, Ramin; Amini, Amin; Ks, Yonemura; Wt, Couldwell

doi:10.1055/s-0028-1085448

Cited by 24 publications

(10 citation statements)

References 4 publications

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“…Because there are two relatively wide nasal cavities, a one‐handed operation can be avoided if an endoscope is inserted through one cavity and forceps through the other. It has been reported that a two‐handed procedure can be performed by fixing the endoscope for spinal or cranial base transsphenoidal neurosurgery . When ear surgery is performed it is possible to insert one endoscope and two forceps at the same time, but this means that the working space becomes inadequate because of the narrow external auditory canal.…”

Section: Discussionmentioning

confidence: 99%

Comparison between endoscopic and microscopic stapes surgery

et al. 2013

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Endoscopic surgery is particularly suitable for stapedial disease. Endoscopic stapes surgery can even be done in patients with a curved and narrow external auditory canal. Endoscopic surgery is also suitable for education: The surgical anatomy can be understood easily and both the surgeon and assistants can observe the procedure on the same monitor. However, it should only be performed by experienced surgeons because one-handed manipulation is required and stereoscopic vision is not available.

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Section: Discussionmentioning

confidence: 99%

Comparison between endoscopic and microscopic stapes surgery

et al. 2013

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“…This allows both hands to be free. [45] The management of intradural bleeding can be done with the use of a thrombin-gelatin haemostatic matrix. [46] A high definition (HD) camera is much superior to standard three-chip camera.…”

Section: Techniquementioning

confidence: 99%

Endoscopic endonasal trans-sphenoid surgery of pituitary adenoma

Yadav

Sachdev

Parihar

et al. 2012

Journal of Neurosciences in Rural Practice

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Endoscopic endonasal trans-sphenoid surgery (EETS) is increasingly used for pituitary lesions. Pre-operative CT and MRI scans and peroperative endoscopic visualization can provide useful anatomical information. EETS is indicated in sellar, suprasellar, intraventricular, retro-infundibular, and invasive tumors. Recurrent and residual lesions, pituitary apoplexy and empty sella syndrome can be managed by EETS. Modern neuronavigation techniques, ultrasonic aspirators, ultrasonic bone curette can add to the safety. The binostril approach provides a wider working area. High definition camera is much superior to three-chip camera. Most of the recent reports favor EETS in terms of safety, quality of life and tumor resection, hospital stay, better endocrinological, and visual outcome as compared to the microscopic technique. Nasal symptoms, blood loss, operating time are less in EETS. Various naso-septal flaps and other techniques of CSF leak repair could help reduce complications. Complications can be further reduced after achieving the learning curve, good understanding of limitations with proper patient selection. Use of neuronavigation, proper post-operative care of endocrine function, establishing pituitary center of excellence and more focused residency and endoscopic fellowship training could improve results. The faster and safe transition from microscopic to EETS can be done by the team concept of neurosurgeon/otolaryngologist, attending hands on cadaveric dissection, practice on models, and observation of live surgeries. Conversion to a microscopic or endoscopic-assisted approach may be required in selected patients. Multi-modality treatment could be required in giant and invasive tumors. EETS appears to be a better surgical option in most pituitary adenoma.

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“…Viele Operateure benutzen als "dritte Hand" spezielle, z. B. pneumatisch betriebene, flexible Halte-Arme für das Endoskop [37,100,116,329,330,[353][354][355][356][357][358]. Andere verwenden diese Halter nur in einzelnen Phasen der OP oder nur bei ausgewählten Eingriffen wie z.…”

Section: Instrumente Vorbereitung Zur Anaesthesie Monitoringunclassified

Rhino-Neurochirurgie

Hosemann

Schroeder

2015

Laryngo-Rhino-Otol

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In the past 2 decades, an innovative and active field of surgical collaboration has been evolved and established combining the expertise of Neurosurgery and Rhinosurgery in treatment of different lesions affecting the anterior skull base together with the adjacent intranasal and intradural areas. Important prerequesites for this development were improvements of technical devices, definitions of transnasal surgical corridors and approvements in endonasal reconstruction e. g. by use of pedicled nasal mucosal flaps. Interdisciplinary surgical teams have been established constituting specialized centers of "rhino-neurosurgery". With growing experience of these groups, it could be shown that oncological results and perioperative complications were comparable to traditional surgery while at the same time, patient's morbidity could be reduced.The present review encompasses the recent literature focussing on the development, technical details, results and complications of "rhino-neurosurgery".

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The Use of the Olympus EndoArm for Spinal and Skull-based Transsphenoidal Neurosurgery

Cited by 24 publications

References 4 publications

Comparison between endoscopic and microscopic stapes surgery

Comparison between endoscopic and microscopic stapes surgery

Endoscopic endonasal trans-sphenoid surgery of pituitary adenoma

Rhino-Neurochirurgie

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