An Overview of Anterior Skull Base Meningiomas and the Endoscopic Endonasal Approach

Mahmoud Abbassy; Troy D Woodard; Raj Sindwani; Pablo F Recinos

doi:10.1016/j.otc.2015.08.002

An Overview of Anterior Skull Base Meningiomas and the Endoscopic Endonasal Approach

Otolaryngol Clin North Am. 2016 Feb;49(1):141-52. doi: 10.1016/j.otc.2015.08.002.

Authors

Mahmoud Abbassy¹, Troy D Woodard², Raj Sindwani², Pablo F Recinos³

Affiliations

¹ Minimally Invasive Cranial Base and Pituitary Surgery Program, Rose Ella Burkhardt Brain Tumor & Neuro-Oncology Center, Cleveland Clinic, 9500 Euclid Ave, S73, Cleveland, OH 44143, USA; Department of Neurosurgery, Faculty of Medicine, Alexandria University, Champlion Street, El-Azareeta, Alexandria, Egypt.
² Minimally Invasive Cranial Base and Pituitary Surgery Program, Rose Ella Burkhardt Brain Tumor & Neuro-Oncology Center, Cleveland Clinic, 9500 Euclid Ave, S73, Cleveland, OH 44143, USA; Section of Rhinology, Sinus and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic, 9500 Euclid Ave, A71, Cleveland, OH 44143, USA.
³ Minimally Invasive Cranial Base and Pituitary Surgery Program, Rose Ella Burkhardt Brain Tumor & Neuro-Oncology Center, Cleveland Clinic, 9500 Euclid Ave, S73, Cleveland, OH 44143, USA; Section of Rhinology, Sinus and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic, 9500 Euclid Ave, A71, Cleveland, OH 44143, USA. Electronic address: recinop@ccf.org.

PMID: 26614834
DOI: 10.1016/j.otc.2015.08.002

Abstract

Meningiomas represent 30% of all primary brain tumors. Anterior skull base meningiomas represent 8.8% of all meningiomas. Surgical resection is a main treatment option for tumors that are symptomatic and/or growing. Recurrence is directly related to the extent of resection of the tumor, the dural attachment, and pathologic bone. Endoscopic endonasal approaches represent an important addition to the treatment armamentarium for skull base meningiomas. This article provides an overview of meningiomas, with a focus on those of the anterior skull base and their management.

Keywords: Olfactory groove; Planum sphenoidale; Transcribriform; Transplanum; Transsphenoidal; Tuberculum sellae.

Publication types

Review

MeSH terms

Disease Management
Endoscopy / methods*
Humans
Magnetic Resonance Imaging
Meningioma / pathology*
Meningioma / surgery*
Nasal Cavity / pathology
Neoplasm Recurrence, Local / surgery
Neurosurgical Procedures / methods*
Nose / surgery
Radiotherapy, Image-Guided
Skull Base / surgery*
Skull Base Neoplasms / surgery*