1 Principles of Endoscopic Endonasal Surgery

  • Tyler J. KenningEmail author
  • Varun R. Kshettry
  • Christopher J. Farrell
  • James J. Evans


Endoscopic endonasal surgery has revolutionized the field of cranial base surgery; however, these surgical approaches involve complex anatomy and require a unique set of skills which its practitioner must master to optimize their use. There is a steep learning curve with the techniques as the endoscopic endonasal approach (EEA) represents a crossroads between the rhinologic principles of otolaryngology and traditional cranial base surgery familiar to specialized neurosurgeons. As a result, EEA is best practiced as a joint venture between the disciplines. This chapter will focus on many of the principles of endoscopic endonasal surgery and the considerations necessary for its successful application to cranial base pathology.


Endoscopic Endonasal Cranial base Skull base Transsphenoidal 

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Tyler J. Kenning
    • 1
    Email author
  • Varun R. Kshettry
    • 2
  • Christopher J. Farrell
    • 3
  • James J. Evans
    • 3
  1. 1.Pituitary and Cranial Base Surgery, Department of NeurosurgeryAlbany Medical CenterAlbanyUSA
  2. 2.Skull Base, Pituitary and Cerebrovascular Surgery, Department of NeurosurgeryCleveland ClinicClevelandUSA
  3. 3.Cranial Base and Pituitary Surgery, Department of NeurosurgeryThomas Jefferson UniversityPhiladelphiaUSA

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