|Title||Endoscopic technology and repair techniques.|
|Publication Type||Journal Article|
|Year of Publication||2020|
|Authors||Singh H, Essayed WI, Schwartz TH|
|Journal||Handb Clin Neurol|
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).
|Alternate Journal||Handb Clin Neurol|