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Clinical considerations for open versus endoscopic approaches in skull base surgery
Basit Jawad1,2, Kyle Vankoevering2, Ricardo Carrau2
1Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati Medical Center.
Summary
Both endoscopic and open craniofacial approaches are vital for managing cranial base tumors. Surgeons consider patient factors and tumor characteristics to select the best surgical technique for optimal outcomes.
Area of Science:
- Neurosurgery
- Otolaryngology
- Oncology
Background:
- Cranial base disease management has evolved with advancements in surgical techniques.
- Understanding tumor biology is crucial for developing sophisticated treatment algorithms.
Purpose of the Study:
- To review evidence comparing endoscopic and open surgical approaches for cranial base disease.
- To evaluate the evolution and limitations of modern surgical techniques.
Main Methods:
- Systematic review of current evidence.
- Evaluation of surgical technique evolution and instrumentation.
Main Results:
- Advanced instrumentation and techniques enable access to previously unreachable surgical corridors.
- Sophisticated treatment algorithms are driven by tumor biology and patient outcomes.
Conclusions:
- Endoscopic and open craniofacial approaches are essential for cranial base tumor management.
- A combined approach may optimize tumor removal and preserve function.
- Individualized treatment planning considers patient history, tumor extent, histology, and functional goals.
