Endoscopic surgery of skull base

Written by: Dr. Humbert Massegur Solench
Edited by: Top Doctors®

Endoscopic skull-based surgery is the surgical treatment of inflammatory or tumoral lesions located in the roof of the nostrils, which are in direct contact with the cranial cavity.

It requires the collaboration of the otolaryngologist and the neurosurgeon to achieve a broad approach and the safety of the complete eradication of the disease. It is performed using the endoscopic control of the cavities, via the endonasal route without the need for external incisions.

It works through the two nostrils and four hands: one of them introduces the endoscope and irrigation and / or aspiration and, through the other fossa, the forceps that will remove the tumor are introduced.

This type of surgery allows much shorter hospital stays because when performed in natural ways, without the need for external incisions or tissue involvement, it minimizes inflammatory reactions, with less pain and fewer side effects, despite the intrinsic risk of this type of approach. neurosurgical

skull endoscopy
To perform this test requires the collaboration of an otorrino and a neurosurgeon 


The right patient

This type of surgery is recommended in all cases in which the tumor, benign or malignant, has the appropriate dimensions and does not invade adjacent structures such as the orbit or brain parenchyma, nor is it projected outside the neurovascular structures such as the carotids or the optic nerve.

It is indicated in cases of tumors of the nasal and paranasal sinuses, of the pituitary gland or with tumors of intracranial origin such as meningiomas, meningoceles, cerebrospinal fluid fistulas, etc.

Benefits of skull-based endoscopic surgery

Allows better visualization of injuries and their limits. Better control and precision of the movements that allow preserving nerves and arteries of small caliber, which results in fewer postoperative sequelae.

The revision of the surgical cavity with angulated optics ensures the correct removal of the tumor and the precise repair of the defects of the skull base produced during the removal of the tumor. All this is a benefit for the patient, with a shorter hospital stay and fewer side effects.

*Translated with Google translator. We apologize for any imperfection

By Dr. Humbert Massegur Solench

Eminence of the specialty of Otorhinolaryngology, Dr. Massegur is a pioneer in Spain in nasosinusal and skull-based endoscopic surgery. Doctorate with Cum Laude Qualification from the Autonomous University of Barcelona, ​​as an expert in his field he has written several articles and has directed several courses. He has been Head of the ENT Service at the Sta. Caterina Hospital in Girona and currently combines private practice with public practice at the Hospital de Sant Pau in Barcelona. He has also been Secretary of the Catalan Society of ENT and Secretary of the External Relations Commission of the Spanish ENT Society (Period 1997-2005). He teaches at the Medical University of Girona and teaches Internal Doctors and Residents of the ENT Service of the Hospital of Sta. Creu and St Pau.

*Translated with Google translator. We apologize for any imperfection

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