[Comprehensive review on rhino-neurosurgery].

Area of Science:

• Neurosurgery
• Otorhinolaryngology (ENT)
• Skull Base Surgery

Background:

• The past two decades have seen the rise of an innovative surgical field combining neurosurgery and rhinosurgery.
• This collaboration focuses on treating lesions of the anterior skull base, intranasal, and intradural areas.

Purpose of the Study:

• To review the development, techniques, results, and complications of rhino-neurosurgery.
• To highlight the advancements in technology and surgical corridors that enabled this approach.

Main Methods:

• Review of recent literature on rhino-neurosurgery.
• Analysis of technical advancements, including endonasal reconstruction with mucosal flaps.
• Examination of outcomes from specialized interdisciplinary surgical teams.

Main Results:

• Rhino-neurosurgery utilizes improved technical devices and defined transnasal corridors.
• Endonasal reconstruction techniques, such as pedicled nasal mucosal flaps, are crucial.
• Established centers demonstrate oncological results and complication rates comparable to traditional surgery.
• Patient morbidity is significantly reduced compared to conventional approaches.

Conclusions:

• Rhino-neurosurgery represents a significant advancement in treating anterior skull base pathologies.
• This minimally invasive, collaborative approach offers comparable efficacy with improved patient outcomes.
• Further research and specialized training are essential for optimizing this evolving surgical discipline.