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J Neurol Surg B Skull Base 2012; 73(03): 147-156
DOI: 10.1055/s-0032-1301391
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Expanded Endoscopic Endonasal Approaches to Skull Base Meningiomas

J. Drew Prosser
1   Department of Otolaryngology, Georgia Health Sciences University, Augusta, Georgia
,
John R. Vender
1   Department of Otolaryngology, Georgia Health Sciences University, Augusta, Georgia
2   Department of Neurosurgery, Georgia Health Sciences University, Augusta, Georgia
,
Cargill H. Alleyne
2   Department of Neurosurgery, Georgia Health Sciences University, Augusta, Georgia
,
C. Arturo Solares
1   Department of Otolaryngology, Georgia Health Sciences University, Augusta, Georgia
2   Department of Neurosurgery, Georgia Health Sciences University, Augusta, Georgia
› Author Affiliations
Further Information

Publication History

05 February 2011

11 October 2011

Publication Date:
22 February 2012 (online)

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Abstract

Anterior cranial base meningiomas have traditionally been addressed via frontal or frontolateral approaches. However, with the advances in endoscopic endonasal treatment of pituitary lesions, the transphenoidal approach is being expanded to address lesions of the petrous ridge, anterior clinoid, clivus, sella, parasellar region, tuberculum, planum, olfactory groove, and crista galli regions. The expanded endoscopic endonasal approach (EEEA) has the advantage of limiting brain retraction and resultant brain edema, as well as minimizing manipulation of neural structures. Herein, we describe the techniques of transclival, transphenoidal, transplanum, and transcribiform resections of anterior skull base meningiomas. Selected cases are presented.

Keywords

skull base - endoscopic - endonasal - meningioma
 

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