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Roberto Maroldi
Deartment of Radiology, University of Brescia
Piazzale Spedali Civili 1
IT–25123 Brescia (Italy)
E-Mail [email protected]
Nicolai P, Bradley PJ (eds): Anterior Skull Base Tumors. Adv Otorhinolaryngol. Basel, Karger, 2020, vol 84, pp 46–55 (DOI: 10.1159/000457924)
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Transnasal Endoscopic Surgery: Surgical Techniques and Complications
Paolo Battaglia Alessia Lambertoni Paolo Castelnuovo
Division of Otorhinolaryngology – Head and Neck Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy
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Abstract
Nowadays, surgeons have a wide armamentarium of surgical approaches available to safely treat sinonasal malignancies, which includes open approaches, with the traditional craniofacial resection (CFR), and endoscopic transnasal techniques. The correct choice depends on the features of the pathology. It is well known that endoscopic approaches have a lower morbidity compared with traditional open techniques, due to a shorter hospitalization, absence of facial incisions, and avoidance of brain retraction. Moreover, endoscopic surgery presents clear technical advantages. For example, magnification of the surgical field allows the surgeon to carefully identify tumor margins, the site of origin, and the anatomical structures involved by the lesion. Nevertheless, a purely endoscopic approach cannot always provide successful resection of the tumor; the patient must be informed about the possibility of switching to a combined cranioendoscopic