Abstract
• Revision skull-base surgery (SBS) should be practiced within a multidisciplinary team.
• Standard endoscopic sinus instrumentation is often inadequate for SBS and specialized equipment is required.
• Closure of large skull-base defects requires careful preoperative evaluation and planning of reconstructive options.
• The use of pedicled mucosal flaps and a multilayered reconstruction is the key to closing large skull-base defects.
• The potential for complications differs little from open SBS, but the ability for faster recovery and less morbidity is great.
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References
Anand VK, Arrowood JP Jr, Patel RB, et al. (1993) Significance of MRI changes after surgery of the skull base. Otolaryngol Head Neck Surg 109:35–45
Baker SR, Baker SR (1998) Nasal lining flaps in contemporary reconstructive rhinoplasty. Facial Plast Surg 14:133–144
Batra PS, Citardi MJ, Worley S, et al. (2005) Resection of anterior skull base tumors: comparison of combined traditional and endoscopic techniques. Am J Rhinol 19:521–528
Beals SP, Joganic EF, Holcombe TC, et al. (1997) Secondary craniofacial problems following skull base surgery. Clin Plast Surg 24:565–581
Carrau RL, Kassam AB, Snyderman CH (2001) Pituitary surgery. Otolaryngol Clin North Am 34:1143–1155
Carrau RL, Snyderman CH, Curtin HD, et al. (1996) Computer-assisted intraoperative navigation during skull base surgery. Am J Otolaryngol 17:95–101
Casiano RR, Numa WA, Falquez AM (2001) Endoscopic resection of esthesioneuroblastoma. Am J Rhinol 15:271–279
Casler JD, Doolittle AM, Mair EA (2005) Endoscopic surgery of the anterior skull base. Laryngoscope 115:16–24
Danish SF, Samdani A, Hanna A, et al. (2006) Experience with acellular human dura and bovine collagen matrix for duraplasty after posterior fossa decompression for Chiari malformations. J Neurosurg 104:16–20
de Divitiis E, Cappabianca P, Cavallo LM, et al. (2002) Endoscopic transsphenoidal approach: adaptability of the procedure to different sellar lesions. Neurosurgery 51:699–705
Dedo HH (2001) Transnasal mucosal flap rotation technique for repair of posterior choanal atresia. Otolaryngol Head Neck Surg 124:674–682
Donald PJ (1999) Complications in skull base surgery for malignancy. Laryngoscope 109:1959–1966
Dusick JR, Mattozo CA, Esposito F, et al. (2006) BioGlue for prevention of postoperative cerebrospinal fluid leaks in transsphenoidal surgery: a case series. Surg Neurol 66:371–376
Fakhri S, Citardi MJ, Wolfe S, et al. (2005) Challenges in the management of sphenoid inverted papilloma. Am J Rhinol 19:207–213
Foweraker KL, Burton KE, Maynard SE, et al. (2007) High-dose radiotherapy in the management of chordoma and chondrosarcoma of the skull base and cervical spine: Part 1 – Clinical outcomes. Clin Oncol (R Coll Radiol) 19:509–516
Frank G, Pasquini E, Doglietto F, et al. (2006) The endoscopic extended transsphenoidal approach for craniopharyngiomas. Neurosurgery 59:75–83
Frank G, Sciarretta V, Calbucci F, et al. (2006) The endoscopic transnasal transsphenoidal approach for the treatment of cranial base chordomas and chondrosarcomas. Neurosurgery 59: 50–57
Gassner HG, Ponikau JU, Sherris DA, et al. (1999) CSF rhinorrhea: 95 consecutive surgical cases with long term follow-up at the Mayo Clinic. Am J Rhinol 13:439–447
Hadad G, Bassagasteguy L, Carrau RL, et al. (2006) A novel reconstructive technique after endoscopic expanded endonasal approaches: vascular pedicle nasoseptal flap. Laryngoscope 116:1882–1886
Harvey RJ, Gallagher RM (2006) Endoscopic vascular control of the anterior skull base. Annual Scientific Conference 2006 March 25th; Melbourne, Australia: Australian Society of Otolaryngology, Head Neck Surgery
Hegazy HM, Carrau RL, Snyderman CH, et al. (2000) Transnasal endoscopic repair of cerebrospinal fluid rhinorrhea: a meta-analysis. Laryngoscope 110:1166–1172
Jho HD, Ha HG (2004) Endoscopic endonasal skull base surgery: Part 1 – The midline anterior fossa skull base. Minim Invasive Neurosurg 47:1–8
Jho HD, Ha HG (2004) Endoscopic endonasal skull base surgery: Part 2 – The cavernous sinus. Minim Invasive Neurosurg 47:9–15
Jho HD, Ha HG (2004) Endoscopic endonasal skull base surgery: Part 3 – The clivus and posterior fossa. Minim Invasive Neurosurg 47:16–23
Karavitaki N, Brufani C, Warner JT, et al. (2005) Craniopharyngiomas in children and adults: systematic analysis of 121 cases with long-term follow-up. Clin Endocrinol (Oxf) 62:397–409
Kassam A, Carrau RL, Snyderman CH, et al. (2005) Evolution of reconstructive techniques following endoscopic expanded endonasal approaches. Neurosurgery Focus 19:E8
Kassam A, Horowitz M, Carrau R, et al. (2003) Use of Tisseel fibrin sealant in neurosurgical procedures: incidence of cerebrospinal fluid leaks and cost–benefit analysis in a retrospective study. Neurosurgery 52:1102–1105
Kassam A, Snyderman CH, Carrau RL, et al. (2005) Endoneurosurgical hemostasis techniques: lessons learned from 400 cases. Neurosurgery Focus 19:E7
Kassam A, Snyderman CH, Mintz A, et al. (2005) Expanded endonasal approach: the rostrocaudal axis. Part I. Crista galli to the sella turcica. Neurosurgery Focus19:E3
Kassam A, Snyderman CH, Mintz A, et al. (2005) Expanded endonasal approach: the rostrocaudal axis. Part II. Posterior clinoids to the foramen magnum. Neurosurgery Focus19:E4
Kassam AB, Gardner P, Snyderman C, et al. (2005) Expanded endonasal approach: fully endoscopic, completely transnasal approach to the middle third of the clivus, petrous bone, middle cranial fossa, and infratemporal fossa. Neurosurgery Focus 19:E6
Kaylie DM, Wittkopf JE, Coppit G, et al. (2006) Revision lateral skull base surgery. Otol Neurotol 27:225–233
Krisht AF, Barrow DL, Barnett DW, et al. (1994) The microsurgical anatomy of the superior hypophyseal artery. Neurosurgery 35:899–903
Leong J-L, Batra PS, Citardi MJ (2006) CT-MR image fusion for the management of skull base lesions. Otolaryngol Head Neck Surg 134:868–876
Leong J-L, Citardi MJ, Batra PS (2006) Reconstruction of skull base defects after minimally invasive endoscopic resection of anterior skull base neoplasms. Am J Rhinol 20:476–482
Leong JL, Batra PS, Citardi MJ, et al. (2005) Three-dimensional computed tomography angiography of the internal carotid artery for preoperative evaluation of sinonasal lesions and intraoperative surgical navigation. Laryngoscope 115:1618–1623
Lindstrom DR, Toohill RJ, Loehrl TA, et al. (2004) Management of cerebrospinal fluid rhinorrhea: the Medical College of Wisconsin experience. Laryngoscope 114:969–974
Lund V, Howard DJ, Wei WI (2007) Endoscopic resection of malignant tumors of the nose and sinuses. Am J Rhinol 21:89–94
Maroon JC (2005) Skull base surgery: past, present, and future trends. Neurosurg Focus 19:E1
May JA, Krieger MD, Bowen I, et al. (2006) Craniopharyngioma in childhood. Adv Pediatr 53:183–209
McMains KC, Gross CW, Kountakis SE, et al. (2004) Endoscopic management of cerebrospinal fluid rhinorrhea. Laryngoscope 114:1833–1837
Murakami CS, Kriet JD, Ierokomos AP, et al. (1999) Nasal reconstruction using the inferior turbinate mucosal flap. Arch Facial Plast Surg 1:97–100
Nguyen-Huynh A, Blevins NH, Jackler RK (2006) The challenges of revision skull base surgery. Otolaryngol Clin North Am 39:783–799
Nibu K, Sasaki T, Kawahara N, et al. (1998) Complications of craniofacial surgery for tumors involving the anterior cranial base. Neurosurgery 42:455–461
Nishioka H, Haraoka J, Ikeda Y (2005) Risk factors of cerebrospinal fluid rhinorrhea following transsphenoidal surgery. Acta Neurochir (Wien) 147:1163–1166
Pieper DR, LaRouere M, Jackson IT (2002) Operative management of skull base malignancies: choosing the appropriate approach. Neurosurg Focus 12:e6
Presutti L, Ciufelli MA, Marchioni D, et al. (2007) Nasal septal perforations: our surgical technique. Otolaryngol Head Neck Surg 136:369–372
Puget S, Garnett M, Wray A, et al. (2007) Pediatric craniopharyngiomas: classification and treatment according to the degree of hypothalamic involvement. See comment. J Neurosurg 106:3–12
Robinson S, Patel N, Wormald PJ (2005) Endoscopic management of benign tumors extending into the infratemporal fossa: a two-surgeon transnasal approach. Laryngoscope 115:1818–1822
Schlosser RJ, Bolger WE (2006) Endoscopic management of cerebrospinal fluid rhinorrhea. Otolaryngol Clin North Am 39:523–538
Schlosser RJ, Bolger WE (2005) Image-guided procedures of the skull base. Otolaryngol Clin North Am 38:483–490
Schlosser RJ, Bolger WE (2003) Significance of empty sella in cerebrospinal fluid leaks. Otolaryngol Head Neck Surg 128:32–38
Schultz-Coulon H-J (2005) Three-layer repair of nasoseptal defects. Otolaryngol Head Neck Surg 132:213–218
Snyderman C, Kassam A, Carrau R, et al. (2007) Acquisition of surgical skills for endonasal skull base surgery: a training program. Laryngoscope 117:699–705
Snyderman C, Zimmer LA, Kassam A (2004) Sources of registration error with image guidance systems during endoscopic anterior cranial base surgery. Otolaryngol Head Neck Surg 131:145–149
Spoudeas HA, Saran F, Pizer B, et al. (2006) A multimodality approach to the treatment of craniopharyngiomas avoiding hypothalamic morbidity: a UK perspective. J Pediatr Endocrinol 19:447–451
Stamm AC (2006) Transnasal endoscopy-assisted skull base surgery. Ann Otol Rhinol Laryngol Suppl 196:45–53
Stamm AC, Pignatari SS (2001) Nasal septal cross-over flap technique: a choanal atresia micro-endoscopic surgical repair. Am J Rhinol 15:143–148
Stamm AC, Pignatari SSN, Vellutini E (2006) Transnasal endoscopic surgical approaches to the clivus. Otolaryngol Clin North Am 39:639–656
Stangerup SE, Dommerby H, Lau T, et al. (1996) Hot-water irrigation as a treatment of posterior epistaxis. Rhinology 34:18–20
Stangerup SE, Thomsen HK (1996) Histological changes in the nasal mucosa after hot-water irrigation. An animal experimental study. Rhinology 34:14–17
Tzortzidis F, Elahi F, Wright D, et al. (2006) Patient outcome at long-term follow-up after aggressive microsurgical resection of cranial base chordomas. Neurosurgery 59:230–237
Unger F, Haselsberger K, Walch C, et al. (2005) Combined endoscopic surgery and radiosurgery as treatment modality for olfactory neuroblastoma (esthesioneuroblastoma) Acta Neurochir (Wien) 147:595–601
Van Den Abbeele T, Elmaleh M, Herman P, et al. (1999) Transnasal endoscopic repair of congenital defects of the skull base in children. Arch Otolaryngol Head Neck Surg 125:580–584
van Overbeeke J, Sekhar L (2003) Microanatomy of the blood supply to the optic nerve. Orbit 22:81–88
Wallace RC, Dean BL, Beals SP, et al. (2003) Posttreatment imaging of the skull base. Semin Ultrasound CT MR 24:164–181
Weber SM, Kim J, Delashaw JB, et al. (2005) Radial forearm free tissue transfer in the management of persistent cerebrospinal fluid leaks. Laryngoscope 115:968–972
White DR, Dubin MG, Senior BA (2003) Endoscopic repair of cerebrospinal fluid leaks after neurosurgical procedures. Am J Otolaryngol 24:213–216
Wormald PJ, McDonogh M (2003) The bath-plug closure of anterior skull base cerebrospinal fluid leaks. Am J Rhinol 17:299–305
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Stamm, A., Flávio, J., Harvey, R. (2008). Revision Endoscopic Skull-Base Surgery. In: Revision Sinus Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78931-4_33
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DOI: https://doi.org/10.1007/978-3-540-78931-4_33
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