• 作者：Juan R. Gras-Cabrerizo^a ; ^{jgras@santpau.cat} ; Fernando Muñ ; oz-Herná ; ndez^b ; Joan R. Montserrat-Gili^a ; Pere Tresserras-Ribo^b ; Manuel de Juan-Delago^c ; Susan M. Webb^d ; Anna Aulinas-Masó ; ^e ; Beatriz Martí ; n-Huerta^f ; Joan Molet-Teixidó ; ^b ; Miquel Quer-Agustí ; ^a ; Humbert Massegur-Solench^a
• 关键词：Equipo multidisciplinar ; Base de crá ; neo ; Cirugí ; a endoscó ; pica ; Adenomas hipó ; fisis ; Fí ; stulas lí ; quido cefalorraquí ; deo
• 刊名：Acta Otorrinolaringol¨®gica Espa?ola
• 出版年：2013
• 出版时间：May-June, 2013
• 年：2013
• 卷：64
• 期：3
• 页码：169-175
• 全文大小：384 K

Introduction

A multidisciplinary team is essential to develop and expand the indications in endonasal endoscopic skull base surgery.

The aim of this study was to present our experience in a group of patients with skull base lesions treated using endonasal endoscopic approach.

Methods

From January 2008 to January 2012, 72 patients with skull base involvement were diagnosed and treated in our centre.

Results

The mean patient age was 53 years. The different pathologies included 36 pituitary adenomas, 10 cerebrospinal fluid leaks and 5 inverted papillomas as the most frequent pathologies. We performed a transsphenoidal transellar approach in 45 cases, a transmaxillary transpterygoid approach in 4 cases and a transnasal expanded approach in 6 cases. We performed an ethmoidal/sphenoidal approach in 12 patients and a Draf IIb/III procedure in four cases. Total resection was achieved in 61 % of patients with pituitary adenomas, subtotal in 22 % and partial in 17 % . Successful repair was achieved in 86 % of CSF leaks. No recurrences were observed in patients with inverted papilloma. Complications were observed in 21 patients (29 % ), 6 being major complications.

Conclusions

Our centre stresses the importance of multidisciplinary collaboration in endoscopic endonasal skull base surgery.