Abstract Successful management of malignant pathology of the clivus and extending into the posterior fossa continues to be a formidable challenge to the skull base surgeon. While legends of surgery…
Abstract Endoscopic transsphenoid pituitary surgery is a straightforward form of skull base surgery. The approach and resection utilize a straight pathway through the nose and sphenoid sinuses. Appreciation of sphenoid…
Abstract Cerebrospinal fluid (CSF) leaks from the nose, and sinuses are infrequent problems that require skilled techniques to manage. Whether iatrogenic or spontaneous, CSF leaks occurring in the cribriform area…
Abstract Modern trephination of the frontal sinus was first described in 1884 by Ogston and Luc. This technique did not gain popularity due to the high failure rate from persistent…
Abstract Approaches to the pterygopalatine/pterygomaxillary space (PPS) provide the surgeon with a vantage point into the pterygopalatine fossa, infratemporal fossa, and lateral recess of the sphenoid sinus. Pathologic processes in…
Abstract The surgical management of sphenoid CSF leaks and encephaloceles has evolved significantly over the past century. The major paradigm shifts have included the transition from open to endoscopic approaches…
Abstract An endoscopic craniofacial resection (CFR) can be considered in the management of benign and malignant tumors of the paranasal sinuses involving the skull base and may avoid the morbidity…
Abstract Endoscopic transnasal surgery has become an effective approach to the surgical management of diseases of the sinuses, orbit, and anterior skull base. Technologic advances have been critical in advancing…
Abstract Resection of orbital tumors is a challenging procedure due to the compact shape of the orbital apex coupled with its vast amount of neurovascular structures. While transfacial and transcranial…
Abstract The endoscopic medial maxillectomy is the modern adaptation of the more historical open medial maxillectomy. This extended endoscopic technique is suitable for the removal of benign maxillary sinus tumors…
