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Endoscopic technology and repair techniques.

TitleEndoscopic technology and repair techniques.
Publication TypeJournal Article
Year of Publication2020
AuthorsSingh H, Essayed WI, Schwartz TH
JournalHandb Clin Neurol
Volume170
Pagination217-225
Date Published2020
ISSN0072-9752
Abstract

In this chapter, we describe advances in endoscopic endonasal surgery that have impacted skull base meningioma surgery. After reviewing the technical innovations in endoscopy, we describe the advances as they relate to each surgical step. We discuss preoperative planning and approach and the utility of neuronavigation and neuromonitoring. We then discuss endoscopic instrumentation, technology for tumor debulking (ultrasonic aspirators, radiofrequency ablators, suction debriders), and hemostatic agents as they relate to tumor resection and hemostasis. In the end, we discuss techniques of skull base reconstruction and closure (nasoseptal flap, gasket seal and bilayer button).

DOI10.1016/B978-0-12-822198-3.00042-2
Alternate JournalHandb Clin Neurol
PubMed ID32586493