Endoscopic Endonasal and Keyhole Surgery for Skull Base Meningiomas

Ilaria Bove; Stephanie Cheok; Jacob J Ruzevick; Gabriel Zada

doi:10.1016/j.nec.2023.02.003

Endoscopic Endonasal and Keyhole Surgery for Skull Base Meningiomas

Neurosurg Clin N Am. 2023 Jul;34(3):393-402. doi: 10.1016/j.nec.2023.02.003. Epub 2023 Mar 27.

Authors

Ilaria Bove¹, Stephanie Cheok², Jacob J Ruzevick², Gabriel Zada²

Affiliations

¹ Department of Neurological Surgery, The University of Southern California Keck, School of Medicine, Los Angeles, CA, USA; Division of Neurosurgery, Department of Neurological Sciences, Università degli Studi di Napoli Federico II, Naples. Electronic address: ilariabove90@gmail.com.
² Department of Neurological Surgery, The University of Southern California Keck, School of Medicine, Los Angeles, CA, USA.

PMID: 37210128
DOI: 10.1016/j.nec.2023.02.003

Abstract

Traditionally, resection of anterior skull base meningiomas has been achieved by transcranial approaches; however, morbidity related (ie, brain retraction, sagittal sinus damage, optic nerve manipulation, and cosmetic healing) represent a limit of the approach. Minimally invasive techniques including supraorbital and endonasal endoscopic approaches (EEA) have gained consensus as surgical corridors provide direct access to the tumor via a midline approach in carefully selected patients . The supraorbital approach requires some retraction of the rectus gyrus, but it offers minimal risk of postoperative CSF leak or sinonasal morbidity compared to EEA.

Keywords: Endoscopic endonasal approach; Keyhole; Meningioma; Skull base; Supraorbital approach.

Publication types

Review

MeSH terms

Endoscopy / methods
Humans
Meningeal Neoplasms* / surgery
Meningioma* / surgery
Skull Base / surgery
Skull Base Neoplasms* / pathology
Skull Base Neoplasms* / surgery
Treatment Outcome