BACKGROUND Sphenoorbital meningiomas are surgically challenging because of their nature to extend to adjacent structures. Here, we describe a case of recurrent sphenoorbital meningioma extending into the sphenoid sinus, pterygopalatine fossa, and infratemporal fossa, which was resected using combined simultaneous transcranial and endoscopic endonasal approaches. CASE DESCRIPTION A 62-year-old...

This study aims to evaluate indications, complications and surgical technique in the endonasal endoscopic approach to orbital tumor resection. In this retrospective review, 11 patients who admitted and underwent endoscopic orbital surgery were reviewed. Demographics, preoperative and postoperative eye examination, and size and imaging characteristics of the tumours were tabulated. The endonasal...

OBJECTIVE Different approaches to the skull base have been developed through the sphenoidal sinus. Traditional boundaries of the trans-sphenoidal approach can be extended in antero-posterior and lateral planes. We review our experience with the extended endoscopic endonasal approach in the first 12 cases. METHODS We used the extended endoscopic endonasal approach in 12 patients with different...

AIM Reconstruction technique advances have created renewed enthusiasm for the expanded endonasal approach (EEA). However, as with any new technique, early experiences inevitably lead to more selective use of these techniques. We reviewed our experience of the expanded endonasal endoscopic approach for skull base meningiomas and place it in context of the literature. MATERIAL AND METHODS We pe...

BACKGROUND In patients with large dural defects of the anterior and ventral skull base after endonasal skull base surgery, there is a significant risk of a postoperative cerebrospinal fluid leak after reconstruction. Reconstruction with vascularized tissue is desirable to facilitate rapid healing, especially in irradiated patients. METHODS We developed a neurovascular pedicled flap of the nas...

INTRODUCTION Endoscopic endonasal transsphenoidal surgery has gained increasing acceptance by otolaryngologists and neurosurgeons. In many centers throughout the world, this technique is now routinely used for the same indications as conventional microsurgical technique for pituitary tumors. OBJECTIVE To present a surgical experience of consecutive endoscopic endonasal trans-sphenoidal resect...

Empty nose syndrome (ENS) is a rare entity in patients who undergo sinonasal surgery due to over-resection of the turbinate. This leads debilitating symptoms that include dry nose, painful nasal breathing, paradoxical obstruction, crusting, and sleep disorder. The goal surgical treatment reestablish volume turbinates rehabilitate resistance. Endonasal microplasty with cartilage implants on late...

introduction: epidermoid tumors comprise 1% of intracranial tumors. although reported, intraosseous epidermoid tumors are even more rare. cystic lesions of the petrous apex are uncommon and surgically challenging; the most rare pathology is presumed to be epidermoid.rncase presentation: this is a case of a 61-year-old woman with a large skull-base tumor extending inferiorly from the c1-c2 artic...

The aim of this report was to summarize our preliminary experience on the resection of tumors located in Meckel's cave via the endoscopic endonasal transmaxillary transpterygoid approach with image-guided system and to investigate the feasibility and efficacy of this approach. Two patients who had tumors in left Meckel's cave underwent surgical treatment using the image-guided endoscopic endona...