Surgery of Extracerebral Tumors of the Frontal and Medial Skull Base

  • D. Riediger
  • M. Ehrenfeld
  • W. Hassler
Conference paper

Abstract

Of the seven approaches that allow access to the frontal and medial skull base, the transnasal-transethmoidal has gained worldwide acceptance in surgery of intrasellar tumors of the pituitary gland. It is commonly used by neurosurgeons, as is the transfrontal-transbasal approach. The transethmoid access is mainly used by ENT surgeons, whereas both the transoral and the unilateral transmaxillary approach are often used by maxillofacial and ENT surgeons. The transcervical approach provides access only to the lower half of the clivus (Derome 1983). In the treatment of tumors invading the frontal medial skull base from the dorsal wall of the frontal sinus, access to the skull base is provided by the tumor itself.

Keywords

Dura 

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References

  1. Derome PJ (1983) The transbasal approach to tumors invading the base of the skull. In: Seeger W (ed) Microsurgery of the cranial base. Springer, Wien New York, pp 357–379Google Scholar
  2. Gardiner LJ, Ariyan S, Pillsbury HC (1983) Myocutaneous flaps for challenging problems in head and neck reconstruction. Arch Otolaryngol 109: 396–399PubMedCrossRefGoogle Scholar
  3. Krishna BV, Green MF (1980) Extended latissimus dorsi myocutaneous flap in reconstruction of the neck. Br J Plast Surg 33: 233PubMedCrossRefGoogle Scholar
  4. LindorfHH (1974) Knochendeckelverschluß nach oraler Kieferhöhleneröffnung. Dtsch Zahnärztl Z 29: 587Google Scholar
  5. Quillen CG, Shearing JG, Georgiade NG (1978) Use of the latissimus dorsi myocutaneous island flap for reconstruction in the head and neck area. Plast Reconstr Surg 62: 113–117PubMedCrossRefGoogle Scholar
  6. Riediger D, Schmelzte R (1986) Modifizierte Anwendung des Latissimus dorsi-Lappens zur Defektdeckung im Mund-Kiefer-Gesichtsbereich. Dtsch Z Mund Kiefer Gesichtschir 10: 364–374PubMedGoogle Scholar
  7. Watson JS, Craig RDP, Orton CE (1979) The free latissimus dorsi myocutaneous flap. Plast Reconstr Surg 64: 299PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • D. Riediger
    • 1
  • M. Ehrenfeld
    • 2
  • W. Hassler
    • 3
  1. 1.StuttgartGermany
  2. 2.TübingenGermany
  3. 3.DuisburgGermany

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