Over the past 2 decades, there has been a significant increase in the resection of larger and more complex ventral skull base malignancies. The resection of these lesions has resulted…
Key points • Sinonasal and ventral skull base cancers encompass a variety of rare “orphan” tumors. Existing evidence is predominantly from retrospective single-institution series. • Multimodality treatment with surgery and…
Over the past decade, robotic surgery has gained wide popularity, making a significant impact on multiple surgical specialties. In the head and neck arena, transoral robotic surgery has proven to…
Cavernous sinus (CS) involvement by sinonasal and ventral skull base malignancies is infrequently encountered in neurosurgical practice. Despite advancements in skull base microneurosurgery and endoscopic techniques, detailed knowledge and experience…
The orbit may be frequently involved by sinonasal or ventral skull base malignancy. This involvement bodes a poorer prognosis for survival. Multimodality therapy with surgery and radiation therapy is usually…
Combined transcranial and endoscopic endonasal approaches remain useful in the treatment of ventral skull base malignancies. The extended bifrontal transbasal approach provides wide access to the anterior ventral skull base…
Key points • The surgical approach should be sufficiently wide to allow the limits of dissection to be visualized and accessed easily with a 0° endoscope and straight instruments. •…
Surgical management of clival lesions presents numerous therapeutic challenges because of the close proximity of surrounding critical structures. With a detailed understanding of the endoscopic endonasal approach and relevant considerations,…
Key points • A transfacial or craniofacial approach allows for wide, potentially en bloc resection and is ideal for tumors that involve surrounding soft tissue, the palate, anterolateral frontal sinus,…
Tremendous pathologic diversity among sinonasal and ventral skull base malignancies complicates development of a uniform and prognostically relevant staging system. Because of the comparatively low incidence of these tumors, comprehensive…
