Comprehensive review on rhino-neurosurgery.

Area of Science:

• Neurosurgery
• Otolaryngology
• Skull Base Surgery
• Minimally Invasive Surgery

Background:

• The past two decades have seen the rise of endonasal surgery for anterior skull base lesions.
• This approach combines expertise from neurosurgery and rhinosurgery.
• Advancements in technology and surgical techniques have been crucial.

Purpose of the Study:

• To review the development and current state of rhino-neurosurgery.
• To detail the technical aspects, outcomes, and complications of this collaborative surgical field.
• To highlight the benefits of interdisciplinary approaches in skull base surgery.

Main Methods:

• Literature review of recent studies on rhino-neurosurgery.
• Analysis of technical advancements, including transnasal corridors and reconstruction techniques (e.g., mucosal flaps).
• Evaluation of perioperative infectious complications and oncological results.

Main Results:

• Rhino-neurosurgery has established specialized interdisciplinary teams ('rhino-neurosurgery' centers).
• Oncological results and complication rates are comparable to traditional open surgery.
• Patient morbidity is significantly reduced through minimally invasive endonasal techniques.

Conclusions:

• Rhino-neurosurgery represents a significant advancement in treating anterior skull base pathologies.
• The collaborative 4-hands-2-minds approach enhances patient outcomes and safety.
• Continued development in this field promises further improvements in skull base surgery.