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Surgical management of anterior skull-base malignancies (endoscopic vs. craniofacial resection)

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Abstract

Anterior skull base (ASB) malignancies are rare entities characterized by delayed diagnosis and comprise a variety of distinct histological types. Their treatment involves clinical and surgical management, with the latter encompassing open and, more recently, endoscopic approaches. The craniofacial resection, as an open approach, has revolutionized the treatment of such diseases and is the gold standard, although significant morbidity and facial scars are a shortcoming. Seeking a less invasive alternative, many surgeons have approached these pathologies using the endoscopic endonasal approach, with the theoretical advantage of reduced morbidity and no facial scars. In this manuscript, we aim to review the current state-of-art in the surgical management of the ASB malignancies. As such, indications, limitations and future perspectives of different surgical techniques are discussed.

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Authors and Affiliations

  1. Department of Neurological Surgery, The Ohio State University, The Wexner Medical Center, N-1049 Doan Hall, 410 W. 10th Avenue, Columbus, OH, 43210-1240, USA

    Thiago Albonette-Felicio, Rafael Martinéz-Pérez, Douglas A. Hardesty & Daniel M. Prevedello

  2. Department of Otolaryngology Head and Neck Surgery, The Ohio State University, Columbus, OH, USA

    Gustavo G. Rangel & Ricardo L. Carrau

  3. Pediatric Otolaryngology-Head and Neck Surgery, Nationwide Children’s Hospital, Columbus, OH, USA

    Gustavo G. Rangel

  4. Anatomy Laboratory Toward Visuospatial Surgical Innovations in Otolaryngology and Neurosurgery (ALT-VISION), Graves Hall Building, 333 W 10th Avenue - Room 2167 L, Columbus, OH, 43210, USA

    Thiago Albonette-Felicio, Gustavo G. Rangel, Rafael Martinéz-Pérez, Douglas A. Hardesty, Ricardo L. Carrau & Daniel M. Prevedello

Authors
  1. Thiago Albonette-Felicio
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  2. Gustavo G. Rangel
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  3. Rafael Martinéz-Pérez
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  4. Douglas A. Hardesty
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  5. Ricardo L. Carrau
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  6. Daniel M. Prevedello
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Corresponding author

Correspondence to Daniel M. Prevedello.

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Conflict of interest

Daniel M. Prevedello is a consultant for Stryker Corporation and Medtronic Corp and Integra LifeSciences Corp. Daniel M. Prevedello has equity on 3 rivers LLC, eLUM Technologies, LLC and Soliton LLC. Daniel M. Prevedello receives royalties from KLS-Martin, ACE Medical and Mizuho. Ricardo L. Carrau is a consultant for Medtronic Corp.

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Albonette-Felicio, T., Rangel, G.G., Martinéz-Pérez, R. et al. Surgical management of anterior skull-base malignancies (endoscopic vs. craniofacial resection). J Neurooncol 150, 429–436 (2020). https://doi.org/10.1007/s11060-020-03413-y

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  • DOI: https://doi.org/10.1007/s11060-020-03413-y

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