Obstruction of the visual field by blood is a major hindrance during endonasal endoscopic surgery, and a rapid and effective method for cleaning the lens is needed. We developed a new lens-cleaning system that does not employ a sheath or an irrigation-suction system. It is a 20-mm long cylinder with side holes that is attached to the barrel of the endoscope and is connected to a syringe contain...

juvenile nasopharyngeal angiofibroma (jna) is a rare, benign and locally invasive tumor. massive bleeding because of vascularity of tumor and postoperative recurrence are potential problems of management. endonasal approach reduces the rate of postoperative recurrence, intraoperative bleeding, and complications of surgery, time of operation and duration of hospitalization. in this article, we r...

The endoscopic endonasal approach is emerging as a feasible alternative to the trans-oral route for the resection of the odontoid process, when the latter produces a compression of the brainstem and cervicomedullary junction. This type of approach has some advantages, such as excellent pre-vertebral exposure of the cranio-vertebral junction in patients with small oral cavities and the possibili...

Introduction Given advancements in endoscopic image quality, instrumentation, surgical navigation, skull base closure techniques, and anatomical understanding, the endonasal endoscopic approach has rapidly evolved into a widely utilized technique for removal of sellar and parasellar tumors. Although pituitary adenomas and Rathke cleft cysts constitute the majority of lesions removed via this ro...

Endoscopic endonasal skull base surgery (EESBS) is undergoing a remarkable evolution as in the last two decades it shifted from pituitary surgery to a myriad of approaches extending from the cribriform plate to C2 and laterally to the petrous apex and to the infratemporal fossa. The collaboration with ENT surgeons, technological advances in the field of instrumentation and endoscopic systems, a...

Myxoma most commonly occurs in the atria, but is rare nasal cavity. A 58-year-old male patient presented with a mass. We used endoscopic endonasal approach for treatment, and was finally diagnosed ala myxoma. report here case of myxoma along literature review.

OBJECTIVES/HYPOTHESIS Injury to the internal carotid artery is a feared complication of endoscopic endonasal surgery of the skull base. Such an event, although rare, is associated with high morbidity and mortality. Even if bleeding is controlled, permanent neurological defects frequently persist. Many techniques have been developed to manage internal carotid artery rupture with varying degrees ...

Intraoperative neurophysiological monitoring during endoscopic, endonasal approaches to the skull base is both feasible and safe. Numerous reports have recently emerged from the literature evaluating the efficacy of different neuromonitoring tests during endonasal procedures, making them relatively well-studied. The authors report on a comprehensive, multimodality approach to monitoring the fun...

INTRODUCTION Removal of the medial orbital wall and periorbit during endoscopic endonasal procedures for malignant tumors or during endoscopic transorbital procedures for intraorbital tumors may cause transient or permanent diplopia, enophthalmos, and strabismus (Fig. 1). Here, we present a simple technique that prevents these complications and allows for a spontaneous reconstruction of the med...

Endonasal skull base surgery is growing exponentially as a subspecialty. In recent years, advances in endoscopic techniques and intraoperative navigation systems have allowed us to expand the indications of endoscopic skull base surgery. Major skull base centers worldwide are addressing larger and more complex lesions using endoscopic techniques. As a consequence, the skull base defects are mor...