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Updated: May 16, 2026
Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
Primary Ewing's sarcoma of the skull: radical resection and immediate cranioplasty after chemotherapy. A technical
Maria Castle1, Mónica Rivero, Javier Marquez
1Department of Neurosurgery, Donostia University Hospital, Donostia, Gipuzkoa, Spain. lumacara@yahoo.com
Purpose:
The current standard treatment of Ewing's sarcoma is chemotherapy followed by surgery, making an immediate cranial reconstruction in a one-step surgical procedure possible.
Methods:
We describe the technique used to repair a cranial defect after the resection of a primary Ewing's sarcoma of the skull in a one-step surgical procedure.
Results:
Bone repair with a custom-made cranioplasty immediately after resection of a primary Ewing's sarcoma of the skull avoids deformities and late complications associated with reconstructive surgery after radiotherapy and not interfere with radiotherapy and neither with follow-up.
Conclusion:
A one-step surgical procedure after chemotherapy for primary Ewing's sarcoma of the skull could be safer, less aggressive and more radical; avoiding deformities and late complications.
