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Multiple approaches to a spheno-orbital and deep face meningioma: how I do it
Robert C Rennert1, Karol P Budohoski1, Vance R Mortimer1
1Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, Salt Lake City, UT, 84132, USA.
Background:
The integration of multiple approaches is sometimes needed for the safe resection of complex multicompartment skull base tumors.
Method:
We present the case of a spheno-orbital and deep face meningioma that required a staged resection strategy using transnasal, transoral, transfacial, and transcranial approaches for airway protection and maximal safe tumor removal.
Conclusion:
Limitations in individual skull base approaches for complex tumors can be anticipated and overcome by combining approaches.
