Concerns of Endoscopic Keyhole approach to skull base tumors

Authors

Keywords:

Abordaje Keyhole, magnificación endoscópica, base de cráneo

Abstract

Introduction: Endoscopic Keyhole surgery for cranial base tumors represents a philosophical evolution of neurosurgical thinking from great craniotomies to small ones with controlled drainage of cerebrospinal fluid. Objectives: to describe theorical concerns that support Keyhole approaches and present the results of the case series. Method. A descriptive study was performed in 56 patients with skull base tumors operated on by Keyhole surgery in the anterior, middle and posterior fossa. The tumoral resection, clinical evolution and main complications were determined. Global visualization and global maneuverability areas were described, such as its determinant and influential factors.Results. A high total tumor resection rate of over 85% was achieved with minimal complications; a significant facial nerve restauration in retrosigmoid Keyhole and satisfactory cosmetic results in supraorbital Keyhole were obtained. Conclusions. Keyhole surgery based on physical, mathematical and biomedical laws constitutes an excellent and promising surgical philosophy.



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Author Biography

Marlon Manuel Ortiz Machín, Hospital Hermanos Ameijeiras. La Habana

Especialista de 2do grado en Neurocirugía

Cirujano de Base de Cráneo

Published

2022-05-01

How to Cite

López Arbolay, O., Ortiz Machín, M. M., Coronado Rosales, A. E., & Varela Baró, A. V. (2022). Concerns of Endoscopic Keyhole approach to skull base tumors. Anales De La Academia De Ciencias De Cuba, 12(2), e1135. Retrieved from https://revistaccuba.sld.cu/index.php/revacc/article/view/1135

Issue

Section

Biomedical sciences