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Updated: Aug 29, 2026

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
Low-grade fibrosarcoma of the anterior skull base: endoscopic resection and repair
Frederick A Kuhn1, Amin R Javer
1Georgia Nasal and Sinus Institute, Savannah, Georgia, USA.
Background:
Fibrosarcomas of the paranasal sinuses and skull base are uncommon tumors. Traditionally, "open approach" surgery remains the mainstay for treatment of choice for these tumors.
Methods:
A 49-year-old man underwent resection of a right anterior skull base fibrosarcoma using the endoscopic approach.
Results:
Close follow-up using both endoscopic and imaging methods over a period of four years has revealed a well-healed skull base with no evidence of recurrence.
Conclusion:
Significant resistance exists at present for such a technique to deal with malignant diseases of the head and neck but results from advanced centers continue to prove that this may be a technique worth mastering and improving on.

