open access

Vol 47, No 1 (2013)
ARTYKUŁ POGLĄDOWY
Submitted: 2011-11-18
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Transnasal endoscopic approaches to the cranial base

Tomasz Łysoń, Andrzej Sieśkiewicz, Robert Rutkowski, Jan Kochanowicz, Grzegorz Turek, Marek Rogowski, Zenon Mariak
DOI: 10.5114/ninp.2012.31474
·
Neurol Neurochir Pol 2013;47(1):63-73.

open access

Vol 47, No 1 (2013)
ARTYKUŁ POGLĄDOWY
Submitted: 2011-11-18

Abstract

Recent advances in surgical endoscopy have made it possible to reach nearly the whole cranial base through a transnasal approach. These ‘expanded approaches’ lead to the frontal sinuses, the cribriform plate and planum sphenoidale, the suprasellar space, the clivus, odontoid and atlas. By pointing the endoscope laterally, the surgeon can explore structures in the coronal plane such as the cavernous sinuses, the pyramid and Meckel cave, the sphenopalatine and subtemporal fossae, and even the middle fossa and the orbit. The authors of this contribution use most of these approaches in their endoscopic skull base surgery. The purpose of this contribution is to review the hitherto established endoscopic approaches to the skull base and to illustrate them with photographs obtained during self-performed procedures and/or cadaver studies.

Abstract

Recent advances in surgical endoscopy have made it possible to reach nearly the whole cranial base through a transnasal approach. These ‘expanded approaches’ lead to the frontal sinuses, the cribriform plate and planum sphenoidale, the suprasellar space, the clivus, odontoid and atlas. By pointing the endoscope laterally, the surgeon can explore structures in the coronal plane such as the cavernous sinuses, the pyramid and Meckel cave, the sphenopalatine and subtemporal fossae, and even the middle fossa and the orbit. The authors of this contribution use most of these approaches in their endoscopic skull base surgery. The purpose of this contribution is to review the hitherto established endoscopic approaches to the skull base and to illustrate them with photographs obtained during self-performed procedures and/or cadaver studies.

Get Citation

Keywords

endoskopia, podstawa czaszki, dostępy chirurgiczne

About this article
Title

Transnasal endoscopic approaches to the cranial base

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 47, No 1 (2013)

Pages

63-73

DOI

10.5114/ninp.2012.31474

Bibliographic record

Neurol Neurochir Pol 2013;47(1):63-73.

Keywords

endoskopia
podstawa czaszki
dostępy chirurgiczne

Authors

Tomasz Łysoń
Andrzej Sieśkiewicz
Robert Rutkowski
Jan Kochanowicz
Grzegorz Turek
Marek Rogowski
Zenon Mariak

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