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Updated: Oct 3, 2026

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
[Microsurgical treatment of medially located tumors of the middle skull base]
1Department of Neurosurgery, Second Affiliated Hospital, Zhejiang Medical University, Hangzhou 310009, China.
Objective:
To report the results of microsurgical treatment of tumors medially located in the middle skull base.
Methods:
The preoperative MRI features, operative approaches, results of operation and postoperative complications in 26 cases were reviewed.
Results:
Total resection of the tumors was achieved in 12 cases, subtotal resection in 9 cases, partial resection in 6 cases. Two patients died of operation. Cranial nerve palsy remained unchanged in 5 cases and became exacerbated in 5 cases. Clinical improvement was observed in 15 cases.
Conclusion:
The combined frontotemporal-zygomatic approach to remove medially located tumors of the middle skull base is adequate.

