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Related Experiment Video

Updated: May 5, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Simultaneous Combined Multiportal Approach Using Transcranial and Endoscope-Assisted Midfacial Degloving Routes for

Tamás Fischer-Szatmári1, Thannoon Masood1, Seyed Arad Senaobar Tahaei1

  • 1Department of Neurosurgery, Faculty of Medicine, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary.

World Neurosurgery
|January 4, 2026
PubMed
Summary

A new combined surgical technique for extensive sinonasal and skull base tumors offers improved outcomes. This multiportal approach reduces complications and enhances aesthetic results for patients.

Keywords:
EndoscopeMidfacial deglovingSinonasal tumorSkull base tumorTransmaxillary approach

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Area of Science:

  • Neurosurgery
  • Otolaryngology
  • Surgical Oncology

Background:

  • Extensive sinonasal and skull base tumors pose significant surgical challenges.
  • Traditional transfacial and transcranial approaches have limitations in extensive cases.
  • A novel combined technique aims to overcome anatomical limitations and improve patient outcomes.

Purpose of the Study:

  • To evaluate the efficacy of a combined tailored transcranial and endoscope-assisted midfacial degloving approach for extensive sinonasal and skull base tumors.
  • To assess the safety, operative time, complication rates, and aesthetic outcomes of this combined technique.

Main Methods:

  • A combination of microscope-assisted tailored transcranial approach and endoscope-assisted midfacial degloving was employed.
  • Five patients with diverse histological tumor types in the sinonasal area and skull base were treated.

Main Results:

  • The mean operative time was three hours.
  • All procedures resulted in total or near-total tumor excision without intraoperative or postoperative complications.
  • Follow-up showed no surgery-related issues in any patient.

Conclusions:

  • The combined simultaneous multiportal technique is effective for complete resection of extensive sinonasal and skull base tumors.
  • This approach leads to shortened operative times, reduced complications, and favorable aesthetic results.
  • The technique offers a safe and effective alternative for complex tumor cases.