The endoscopic endonasal approach to the Meckel's Cave Tumors: surgical technique and indications.

Détails

ID Serval
serval:BIB_A5F73F7DBA5A
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
The endoscopic endonasal approach to the Meckel's Cave Tumors: surgical technique and indications.
Périodique
World Neurosurgery
Auteur(s)
Jouanneau E., Simon E., Jacquesson T., Sindou M., Tringali S., Messerer M., Berhouma M.
ISSN
1878-8750 (Electronic)
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
82
Numéro
6
Pages
S155-S161
Langue
anglais
Résumé
Many benign and malignant tumors as well as other inflammatory or vascular diseases may be located in the areas of Meckel's cave or the Cavernous Sinus. Except for typical features such as for meningiomas, imaging may not by itself be sufficient for the choice of the best therapeutic option. Thus, even though modern therapy (chemotherapy, radiotherapy or radiosurgery) dramatically reduces the field of surgery in this challenging location, there is still some place for surgical biopsy or tumor removal in selected cases. Until recently, the microscopic sub-temporal extradural approach with or without orbito-zygomatic removal was classically used to approach Meckel's cave but with a non-negligible morbidity. Percutaneous biopsy using the Hartel technique has been developed for biopsy of such tumors but may fail in the case of firm tumors, and additionally it is not appropriate for anterior parasellar tumors. With the development of endoscopy, the endonasal route now represents an interesting alternative approach to Meckel's cave as well as the Cavernous Sinus. Through their experience, the authors describe their modus operandi and discuss what should be the appropriate indication of the use of the endonasal endoscopic approach for Meckel's cave disease in the armamentarium of the skull base surgeon.
Pubmed
Création de la notice
16/09/2014 16:45
Dernière modification de la notice
20/08/2019 16:11
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