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6 Anterior Cranial Base

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Endoscopic and Keyhole Cranial Base Surgery

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Abstract

Anterior skull base lesions can be approached through transcranial or extended endonasal, either microscopic or endoscopic, approaches. Meningiomas are the most common pathologies located in the anterior cranial fossa, and this chapter will focus on the endoscopic endonasal approach for the management of tuberculum sellae and planum sphenoidale meningiomas. Key considerations related to the specific indications for the endoscopic endonasal approach include sphenoid sinus and tuberculum/suprasellar notch anatomy, parasellar extension of the tumor, or encasement of neurovascular structures. When proper indications are complied, the endonasal route represents a safe and effective surgical module for the management of tuberculum sellae and planum sphenoidale meningiomas.

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Author information

Authors and Affiliations

  1. Department of Neurosciences and Reproductive and Odontostomatological Sciences, Division of Neurosurgery, Universitá degli Studi di Napoli Federico II, Naples, Italy

    Luigi Maria Cavallo, Domenico Solari & Alberto Di Somma

  2. Department of Neurosurgery, Ibn Sina Hospital, Kuwait City, Kuwait

    Waleed A. Azab

  3. Department of Neurosurgery, Universitá degli Studi di Napoli Federico II, Naples, Italy

    Paolo Cappabianca

Authors
  1. Luigi Maria Cavallo
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  2. Domenico Solari
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  3. Alberto Di Somma
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  4. Waleed A. Azab
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  5. Paolo Cappabianca
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Corresponding author

Correspondence to Luigi Maria Cavallo .

Editor information

Editors and Affiliations

  1. Cranial Base and Pituitary Surgery Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA

    James J. Evans

  2. Pituitary and Cranial Base Surgery, Department of Neurosurgery, Albany Medical Center, Albany, NY, USA

    Tyler J. Kenning

  3. Cranial Base and Pituitary Surgery Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA

    Christopher Farrell

  4. Skull Base, Pituitary and Cerebrovascular Surgery Department of Neurosurgery, Cleveland Clinic, Cleveland, OH, USA

    Varun R. Kshettry

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Cavallo, L.M., Solari, D., Di Somma, A., Azab, W.A., Cappabianca, P. (2019). 6 Anterior Cranial Base. In: Evans, J., Kenning, T., Farrell, C., Kshettry, V. (eds) Endoscopic and Keyhole Cranial Base Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-64379-3_6

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  • DOI: https://doi.org/10.1007/978-3-319-64379-3_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-64378-6

  • Online ISBN: 978-3-319-64379-3

  • eBook Packages: MedicineMedicine (R0)

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