Abstract Endoscopic endonasal transplanum and transsellar approaches are frequently utilized to manage pituitary adenomas, craniopharyngiomas, and meningiomas. In addition to the intrinsic panoramic view from the endoscope, wide access using…
Abstract Although minimally invasive endoscopic frontal sinus surgery has become the mainstay of managing both chronic and in many cases neoplastic disease of the frontal sinus, open approaches to the…
Abstract Advances in endoscopic technology and technique have increased the diversity and size of skull base lesions amenable to an endoscopic resection. However, successful reconstruction of the resultant defect is…
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…
