Utility of a three-dimensional endoscopic system in skull base surgery

Oshri Wasserzug, Nevo Margalit, Noam Weizman, Dan M. Fliss, Ziv Gil*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

39 Scopus citations

Abstract

We evaluated the utility of a three-dimensional (3-D) endoscopic system for skull base surgery. We performed a retrospective case series in a tertiary care medical center. Thirty-six patients underwent skull base (nonpituitary) resections via 3-D endoscopic system. Fifteen patients (42%) were operated for excision of malignant tumors, 19 (53%) for excision of benign lesions, and 3 (8.3%) for skull base reconstruction. The tumors involved the cribriform plate (n=13), sphenoid sinus and planum (n=17), clivus (n=7), and sella (n=7). Complete tumor resection was achieved in 31 patients and subtotal resection in two. Five patients (14%) had postoperative complications. There was one case of meningitis, and there were no cases of cerebrospinal fluid leak. The surgeon's ability to recognize anatomic structures at the skull base was evaluated using the 3-D and two-dimensional systems. The 3-D technique was superior to the conventional technique for identification of the sella, carotid prominence, optic prominence, cribriform plate, sphenoid, and fovea ethmoidalis. The two systems were equal for detection of the turbinates, clivus, maxillary, ethmoids, and frontal sinuses. Endoscopic skull base surgery with stereoscopic viewing is feasible and safe. Further studies are required to evaluate the advantage of binocular vision in skull base surgery.

Original languageEnglish
Pages (from-to)223-228
Number of pages6
JournalSkull Base
Volume20
Issue number4
DOIs
StatePublished - 2010

Keywords

  • Endoscopic approach
  • minimal invasive
  • skull base
  • stereoscopic view
  • surgery
  • three-dimensional

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