This chapter discusses the unique challenges that endoscopic skull base surgery present to the neuroanesthesiologist. The neuroanesthesiology team plays a vital role in ensuring a safe outcome to this delicate surgery. Highly specialized endoscopic techniques and equipment, together with the use of sophisticated intraoperative monitoring, all mandate skillful anesthesia management that is tailo...

BACKGROUND Microscopic and endoscopic transsphenoidal approaches to the sellar are well established. Surgical freedom is an important skull base principle that can be measured objectively and used to compare approaches. OBJECTIVE To compare the surgical freedom of 4 transsphenoidal approaches to the sella turcica to aid in surgical approach selection. METHODS Four transsphenoidal approaches...

OBJECTIVES/HYPOTHESIS In an effort to decrease morbidity, skull base surgeons have explored less invasive approaches to the infratemporal fossa, including endonasal-endoscopy, minicraniotomies, and transantral endoscopic and microscopic corridors. This project presents quantitative data that assesses the practicality, and volumetric exposure afforded by endonasal and open approaches to the infr...

Background: The endonasal endoscopic surgery has stood the test of time in managing inflammatory as well as other diseases affecting nose and paranasal sinuses. Objective: To report our experience with endonasal endoscopic surgery of benign tumors and tumor-like conditions of the nose and paranasal sinuses. Methods: The medical records of 92 patients with tumors and tumor-like conditions, who h...

Setting One of the consequences of the widespread use of endoscopic endonasal approaches (EEA) to skull base pathologies is the management of complex skull base defects. Nowadays, the gold standard is a multilayer closure that reproduces the physiological tissue barriers. Several techniques have been described in the literature; however, skull base reconstruction after EEA still represents a ma...

Endonasal endoscopic laser-assisted dacryocystorhinostomy has many advantages over conventional external dacryocystorhinostomy. This technique avoids a cutaneous scar and causes less surgical trauma and bleeding than that seen in conventional lacrimal surgery. A total of 20 endoscopic laser-assisted dacryocystorhinostomy in 16 patients were performed between 1998 and 1999. The procedure was suc...

Background. Surgical approaches to the parapharyngeal space (PPS) are challenging by virtue of deep location and neurovascular content. Juvenile Nasopharyngeal Angiofibroma (JNA) is a formidable hypervascular tumor that involves multiple compartments with increase in size. In tumors with extension to parapharyngeal space, the endonasal approach was observed to be inadequate. Combined Endoscopic...

This chapter discusses the unique challenges that endoscopic skull base surgery present to the neuroanesthesiologist. The neuroanesthesiology team plays a vital role in ensuring a safe outcome to this delicate surgery. Highly specialized endoscopic techniques and equipment, together with the use of sophisticated intraoperative monitoring, all mandate skillful anesthesia management that is tailo...

This chapter discusses the unique challenges that endoscopic skull base surgery present to the neuroanesthesiologist. The neuroanesthesiology team plays a vital role in ensuring a safe outcome to this delicate surgery. Highly specialized endoscopic techniques and equipment, together with the use of sophisticated intraoperative monitoring, all mandate skillful anesthesia management that is tailo...

This chapter discusses the unique challenges that endoscopic skull base surgery present to the neuroanesthesiologist. The neuroanesthesiology team plays a vital role in ensuring a safe outcome to this delicate surgery. Highly specialized endoscopic techniques and equipment, together with the use of sophisticated intraoperative monitoring, all mandate skillful anesthesia management that is tailo...