The transbasal approach to the anterior skull base: surgical outcome of a single-centre case series

A. Kaywan Aftahy, Melanie Barz, Arthur Wagner, Julia S. Bermeitinger, Claire Delbridge, Chiara Negwer, Bernhard Meyer, Jens Gempt

Publikation: Beitrag in FachzeitschriftArtikelBegutachtung

3 Zitate (Scopus)

Abstract

A variety of sinonasal tumours, meningiomas or other lesions of the anterior skull base involve the paranasal sinuses and the periorbital area. The transbasal approach (TBA) has turned out to be a feasible technique to reach those lesions. A retrospective review at a neurosurgical university department between November 2007 and January 2020 with adult patients who underwent resection of oncologic pathologies through TBA. Surgical technique, extent of resection (EOR), clinical outcome and postoperative complications were analysed. 18 TBAs between November 2007 and January 2020 were performed. Median age was 62 (range 25–83), 7 female and 11 male patients. Gross total resection rate was 85.8% throughout all entities. Four (22.2%) patients suffered from WHO°I meningiomas and 14 (77.7%) from other extra-axial lesions. Preoperative Karnofsky Performance Status Scale (KPSS) was 80% (range 40–90), postoperative KPSS 80% (range 20–100). Rate of postoperative complications requiring intervention was 16.7%. Median follow-up was 9.8 (range 1.2–71.8) months. Modifications and extensions of the classic TBA are not mandatory. Complete resection can be performed under functional and cosmetic-preserving aspects. Second-step procedures such as transnasal approaches may be performed to avoid high morbidity of more aggressive TBAs, if necessary. Surgical considerations should be kept simple and straightforward.

OriginalspracheEnglisch
Aufsatznummer22444
FachzeitschriftScientific Reports
Jahrgang10
Ausgabenummer1
DOIs
PublikationsstatusVeröffentlicht - Dez. 2020
Extern publiziertJa

Fingerprint

Untersuchen Sie die Forschungsthemen von „The transbasal approach to the anterior skull base: surgical outcome of a single-centre case series“. Zusammen bilden sie einen einzigartigen Fingerprint.

Dieses zitieren