Zusammenfassung
Endoskopisch geführte oder endoskopisch assistierte Operationsverfahren gewinnen in der Schädelbasischirurgie immer mehr an Bedeutung. Insbesondere im Bereich der Frontobasis hat das Endoskop nicht nur in der konventionellen funktionellen Nasennebenhöhlenchirurgie (FESS), sondern auch in der Schädelbasischirurgie mit geplanter Eröffnung des Subarachnoidalraums das Mikroskop weitestgehend abgelöst. Der Nutzen für den Patienten im Bereich der Schädelbasischirurgie ist jedoch in Hinblick auf Mortalität, Morbidität und Rezidivrate unklar, denn es fehlen Studien nach den Kriterien der „evidence-based medicine“.
Abstract
Total endoscopic or endoscopy-assisted surgical procedures are becoming more and more important for skull base surgery. In particular at the frontal skull base endoscopic procedures with planned opening of the subarachnoidal space have mostly replaced the microscope because of the good experiences in functional endoscopic sinus surgery (FESS). The advantages for the patients of endoscopic procedures with planned opening of the subarachnoidal space measured by criteria, such as mortality, morbidity or recurrence rate are unclear due to a lack of valid study data according to the criteria of evidence-based medicine.
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Schipper, J. Interdisziplinäre Schädelbasischirurgie. HNO 59, 327–331 (2011). https://doi.org/10.1007/s00106-011-2281-4
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DOI: https://doi.org/10.1007/s00106-011-2281-4
Schlüsselwörter
- Medizintechnik
- Lebensqualität
- Computerassistierte Chirurgie (CAS)
- Schädelbasis
- Endoskopisches Operationsverfahren