Advertisement

Acta Neurochirurgica

, Volume 160, Issue 2, pp 361–366 | Cite as

Endoscopic endonasal resection of sinonasal/anterior skull base malignancy (Kadish C esthesioneuroblastoma)

  • Gautam U. Mehta
  • Ehab Y. Hanna
  • Franco DeMonte
  • Shaan M. RazaEmail author
How I Do it - Neurosurgical Techniques

Abstract

Background

The surgical management of anterior skull base malignancies requires the full complement of open and endoscopic skull base approaches. Due to the evolution of endoscopic techniques, endoscopic approaches are now being employed for complex skull base tumors.

Methods

We present our technique for endoscopic management for an advanced (T4) anterior skull base malignancy that provides a systematic approach to resection, margin assessment, and reconstruction.

Conclusion

Our surgical strategy provides a systematic approach by which an oncologic resection can be performed within the context of a spectrum of surgical strategies necessary to manage skull base malignancies.

Keywords

Endoscopic endonasal Skull base Cancer Malignancy Esthesioneuroblastoma 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

ESM 1

(MP4 402748 kb)

References

  1. 1.
    Ganly I, Patel SG, Singh B, Kraus DH, Bridger PG, Cantu G, Cheesman A, De Sa G, Donald P, Fliss DM, Gullane P, Janecka I, Kamata SE, Kowalski LP, Levine PA, Medina Dos Santos LR, Pradhan S, Schramm V, Snyderman C, Wei WI, Shah JP (2005) Craniofacial resection for malignant paranasal sinus tumors: report of an International Collaborative Study. Head Neck 27:575–584CrossRefPubMedGoogle Scholar
  2. 2.
    Gross WE, Gross CW, Becker D, Moore D, Phillips D (1995) Modified transnasal endoscopic Lothrop procedure as an alternative to frontal sinus obliteration. Otolaryngol Head Neck Surg 113:427–434CrossRefPubMedGoogle Scholar
  3. 3.
    Hanna E, DeMonte F, Ibrahim S, Roberts D, Levine N, Kupferman M (2009) Endoscopic resection of sinonasal cancers with and without craniotomy: oncologic results. Arch Otolaryngol Head Neck Surg 135:1219–1224CrossRefPubMedGoogle Scholar
  4. 4.
    Har-El G, Casiano RR (2005) Endoscopic management of anterior skull base tumors. Otolaryngol Clin N Am 38(133–144):ixGoogle Scholar
  5. 5.
    Ow TJ, Hanna EY, Roberts DB, Levine NB, El-Naggar AK, Rosenthal DI, DeMonte F, Kupferman ME (2014) Optimization of long-term outcomes for patients with esthesioneuroblastoma. Head Neck 36:524–530CrossRefPubMedGoogle Scholar
  6. 6.
    Sozansky J, Houser SM (2015) Pathophysiology of empty nose syndrome. Laryngoscope 125:70–74CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2017

Authors and Affiliations

  1. 1.Department of NeurosurgeryThe University of Texas M.D. Anderson Cancer CenterHoustonUSA
  2. 2.Department of Head and Neck SurgeryThe University of Texas M.D. Anderson Cancer CenterHoustonUSA

Personalised recommendations