Staged Strategies to Deal with Complex, Giant, Multi-Fossa Skull Base Tumors
Given the complex and multifaceted nature of resecting giant tumors in the anterior, middle, and, to a lesser extent, the posterior fossa, we present two example strategies for navigating the intricacies of such tumors. The foundational premise of these two approaches is based on a two-stage method...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-06-01
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| Series: | Brain Sciences |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2076-3425/13/6/916 |
| _version_ | 1797595702847602688 |
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| author | Brandon Edelbach Miguel Angel Lopez-Gonzalez |
| author_facet | Brandon Edelbach Miguel Angel Lopez-Gonzalez |
| author_sort | Brandon Edelbach |
| collection | DOAJ |
| description | Given the complex and multifaceted nature of resecting giant tumors in the anterior, middle, and, to a lesser extent, the posterior fossa, we present two example strategies for navigating the intricacies of such tumors. The foundational premise of these two approaches is based on a two-stage method that aims to improve the visualization and excision of the tumor. In the first case, we utilized a combined endoscopic endonasal approach and a staged modified pterional, pretemporal, with extradural clinoidectomy, and transcavernous approach to successfully remove a giant pituitary adenoma. In the second case, we performed a modified right-sided pterional approach with pretemporal access and extradural clinoidectomy. This was followed by a transcortical, transventricular approach to excise a giant anterior clinoid meningioma. These cases demonstrate the importance of performing staged operations to address the challenges posed by these giant tumors. |
| first_indexed | 2024-03-11T02:41:08Z |
| format | Article |
| id | doaj.art-cb7a3b37ca6c457fbb96ac462d2e2d1e |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-11T02:41:08Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-cb7a3b37ca6c457fbb96ac462d2e2d1e2023-11-18T09:36:20ZengMDPI AGBrain Sciences2076-34252023-06-0113691610.3390/brainsci13060916Staged Strategies to Deal with Complex, Giant, Multi-Fossa Skull Base TumorsBrandon Edelbach0Miguel Angel Lopez-Gonzalez1School of Medicine, Loma Linda University, Loma Linda, CA 92354, USADepartment of Neurosurgery, Loma Linda University Medical Center East Campus, Loma Linda, CA 92354, USAGiven the complex and multifaceted nature of resecting giant tumors in the anterior, middle, and, to a lesser extent, the posterior fossa, we present two example strategies for navigating the intricacies of such tumors. The foundational premise of these two approaches is based on a two-stage method that aims to improve the visualization and excision of the tumor. In the first case, we utilized a combined endoscopic endonasal approach and a staged modified pterional, pretemporal, with extradural clinoidectomy, and transcavernous approach to successfully remove a giant pituitary adenoma. In the second case, we performed a modified right-sided pterional approach with pretemporal access and extradural clinoidectomy. This was followed by a transcortical, transventricular approach to excise a giant anterior clinoid meningioma. These cases demonstrate the importance of performing staged operations to address the challenges posed by these giant tumors.https://www.mdpi.com/2076-3425/13/6/916meningiomapituitary adenomaendonasal endoscopic transsphenoidal approachanterior clinoidectomytranscavernous |
| spellingShingle | Brandon Edelbach Miguel Angel Lopez-Gonzalez Staged Strategies to Deal with Complex, Giant, Multi-Fossa Skull Base Tumors Brain Sciences meningioma pituitary adenoma endonasal endoscopic transsphenoidal approach anterior clinoidectomy transcavernous |
| title | Staged Strategies to Deal with Complex, Giant, Multi-Fossa Skull Base Tumors |
| title_full | Staged Strategies to Deal with Complex, Giant, Multi-Fossa Skull Base Tumors |
| title_fullStr | Staged Strategies to Deal with Complex, Giant, Multi-Fossa Skull Base Tumors |
| title_full_unstemmed | Staged Strategies to Deal with Complex, Giant, Multi-Fossa Skull Base Tumors |
| title_short | Staged Strategies to Deal with Complex, Giant, Multi-Fossa Skull Base Tumors |
| title_sort | staged strategies to deal with complex giant multi fossa skull base tumors |
| topic | meningioma pituitary adenoma endonasal endoscopic transsphenoidal approach anterior clinoidectomy transcavernous |
| url | https://www.mdpi.com/2076-3425/13/6/916 |
| work_keys_str_mv | AT brandonedelbach stagedstrategiestodealwithcomplexgiantmultifossaskullbasetumors AT miguelangellopezgonzalez stagedstrategiestodealwithcomplexgiantmultifossaskullbasetumors |