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Minimally invasive surgery of the anterior skull base: transorbital approaches.

Gassner HG, Schwan F, Schebesch KM - GMS Curr Top Otorhinolaryngol Head Neck Surg (2016)

Bottom Line: The more recently described transorbital approaches represent minimally invasive alternatives with a differing spectrum of access corridors.The purpose of the present paper is to discuss transorbital approaches to the anterior skull base in the light of the current literature.Their execution requires an interdisciplinary team approach.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Otolaryngology, Head & Neck Surgery, University Medicine of Regensburg, Germany.

ABSTRACT
Minimally invasive approaches are becoming increasingly popular to access the anterior skull base. With interdisciplinary cooperation, in particular endonasal endoscopic approaches have seen an impressive expansion of indications over the past decades. The more recently described transorbital approaches represent minimally invasive alternatives with a differing spectrum of access corridors. The purpose of the present paper is to discuss transorbital approaches to the anterior skull base in the light of the current literature. The transorbital approaches allow excellent exposure of areas that are difficult to reach like the anterior and posterior wall of the frontal sinus; working angles may be more favorable and the paranasal sinus system can be preserved while exposing the skull base. Because of their minimal morbidity and the cosmetically excellent results, the transorbital approaches represent an important addition to established endonasal endoscopic and open approaches to the anterior skull base. Their execution requires an interdisciplinary team approach.

No MeSH data available.


Related in: MedlinePlus

Exposure of the dural defect after defragmentation of the fracture line.
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Figure 4: Exposure of the dural defect after defragmentation of the fracture line.

Mentions: Posterior of the insertion of the medial canthal ligament at the crista lacrimalis, the periorbita of the lamina papyracea can now be incisied. The height of the roof of the rhinobase is revealed by the anterior and posterior ethmoid arteries. After clipping the ethmoid arteries, endoscopically controlled resection or clearing out of the medial orbital roof allows exposure of the anterior skull base (Figure 3 (Fig. 3), Figure 4 (Fig. 4)).


Minimally invasive surgery of the anterior skull base: transorbital approaches.

Gassner HG, Schwan F, Schebesch KM - GMS Curr Top Otorhinolaryngol Head Neck Surg (2016)

Exposure of the dural defect after defragmentation of the fracture line.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4940979&req=5

Figure 4: Exposure of the dural defect after defragmentation of the fracture line.
Mentions: Posterior of the insertion of the medial canthal ligament at the crista lacrimalis, the periorbita of the lamina papyracea can now be incisied. The height of the roof of the rhinobase is revealed by the anterior and posterior ethmoid arteries. After clipping the ethmoid arteries, endoscopically controlled resection or clearing out of the medial orbital roof allows exposure of the anterior skull base (Figure 3 (Fig. 3), Figure 4 (Fig. 4)).

Bottom Line: The more recently described transorbital approaches represent minimally invasive alternatives with a differing spectrum of access corridors.The purpose of the present paper is to discuss transorbital approaches to the anterior skull base in the light of the current literature.Their execution requires an interdisciplinary team approach.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Otolaryngology, Head & Neck Surgery, University Medicine of Regensburg, Germany.

ABSTRACT
Minimally invasive approaches are becoming increasingly popular to access the anterior skull base. With interdisciplinary cooperation, in particular endonasal endoscopic approaches have seen an impressive expansion of indications over the past decades. The more recently described transorbital approaches represent minimally invasive alternatives with a differing spectrum of access corridors. The purpose of the present paper is to discuss transorbital approaches to the anterior skull base in the light of the current literature. The transorbital approaches allow excellent exposure of areas that are difficult to reach like the anterior and posterior wall of the frontal sinus; working angles may be more favorable and the paranasal sinus system can be preserved while exposing the skull base. Because of their minimal morbidity and the cosmetically excellent results, the transorbital approaches represent an important addition to established endonasal endoscopic and open approaches to the anterior skull base. Their execution requires an interdisciplinary team approach.

No MeSH data available.


Related in: MedlinePlus