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Initial experiences with endoscopic rhino-neurosurgery in Amsterdam

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Endoscopic surgery of the skull base has been on the rise for several years. Endoscopic access for surgery can be achieved from the frontal sinus anteriorly along the skull base to the odontoid process posterior inferiorly. An endoscope is inserted through one nasal corridor and allows visualization of the working field and up to three surgical instruments can be used to address the lesion. This is called the “two nostrils–four hands technique”. This is a retrospective study of 67 cases. Setting of the study is an Amsterdam University hospital. Cases were identified in the department of otorhinolaryngology and department of neurosurgery database. All patients operated between 1 January, 2008 and 1 February, 2012 with pituitary tumours that extend beyond the sella, sinonasal tumours and all non-pituitary skull-base tumours were included. Mean tumour diameter was 3.8 cm. We performed a near-to-gross total resection in 92 % of cases where we intended to perform a total resection. The most frequent complication was CSF leakage. This study demonstrates that this technique is safe and reliable. What is needed is a dedicated team, which includes a dedicated anesthesiologist, endocrinologist, ophthalmologist, and radiation oncologist.

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Conflict of interest

None of the authors report a conflict of interest.

Author information

Authors and Affiliations

  1. Department of neurosurgery, Academic Medical Centre, Amsterdam, The Netherlands

    Rick de Bruin & Dagmar Verbaan

  2. Director endoscopic skull base center Amsterdam, Academic Medical Centre, Amsterdam, The Netherlands

    Wouter R. van Furth & Christos Georgalas

  3. Department of Otorhinolaryngology, Academic Medical Centre, Amsterdam, The Netherlands

    W. F. Fokkens & S. M. Reinartz

Authors
  1. Rick de Bruin
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  2. Wouter R. van Furth
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  3. Dagmar Verbaan
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  4. Christos Georgalas
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  5. W. F. Fokkens
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  6. S. M. Reinartz
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Correspondence to Rick de Bruin.

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de Bruin, R., van Furth, W.R., Verbaan, D. et al. Initial experiences with endoscopic rhino-neurosurgery in Amsterdam. Eur Arch Otorhinolaryngol 271, 1525–1532 (2014). https://doi.org/10.1007/s00405-013-2662-2

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  • DOI: https://doi.org/10.1007/s00405-013-2662-2

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