Endoscopic Endonasal Skull Base Surgery: A Comprehensive Guide

By A.B. Kassam, P.A. Gardner, L. Dade Lunsford

Over the past decade, the endoscopic endonasal approach (EEA) to the skull base has emerged as a powerful tool in the neurosurgical arsenal. This book provides a comprehensive overview of the role of transnasal approaches in a wide range of skull base diseases. It begins with a historical perspective on the evolution from the microscope to the endoscope in endonasal surgery and then delves into the principles and techniques of various methods.

Understanding the Skull Base

The skull base is a complex region that serves as the foundation for the brain and the sensory organs. It is composed of several bones that form the base of the cranium and face. The skull base is divided into three main regions: the anterior, middle, and posterior fossae. Each region has distinct anatomical features and functions, and understanding these is crucial for effective skull base surgery.

Endoscopic Endonasal Approach

The endoscopic endonasal approach (EEA) is a minimally invasive surgical technique that uses an endoscope to visualize the surgical site through the nasal passages. This approach allows for direct access to the skull base without the need for large incisions or bone removal. The EEA can be used to treat a variety of conditions, including pituitary tumors, meningiomas, and cranial base fractures.

Techniques and Applications

This book explores the various techniques and applications of the EEA in detail. It covers topics such as:

• Access to the pituitary fossa, suprasellar space, and cavernous sinus
• Approaches to the clivus and anterior cranial fossa
• Endoscopic endonasal access to the infratemporal and posterior fossae
• Retrosigmoid approaches and their applications

Reconstruction and Complications

One of the critical aspects of skull base surgery is the reconstruction of the surgical site to prevent complications such as cerebrospinal fluid leaks and infection. This book discusses the various techniques used for reconstruction and the management of potential complications. It also covers the learning curve associated with mastering the EEA and strategies for minimizing risks.

Target Audience

This comprehensive guide is designed for neurosurgeons, otolaryngologists, head and neck surgeons, and craniofacial surgeons. It provides the latest knowledge and techniques to help practitioners understand the applications and practice of the EEA.

With its detailed coverage of the principles, techniques, and applications of the endoscopic endonasal approach, this book is an essential resource for any surgeon looking to expand their skills and improve patient outcomes in skull base surgery.