Interdisziplinäre Behandlung von Schädelbasistumoren

Zusammenfassung

Zielsetzung Die endoskopische endonasale Schädelbasischirurgie hat sich weltweit durchgesetzt. Vergleichende Analysen haben gezeigt, dass die endoskopische Schädelbasischirurgie bei vielen Pathologien der vorderen Schädelbasis, z. B. bei bösartigen Tumoren der Nasennebenhöhlen, bei Pathologien der zentralen Schädelbasis wie Hypophysenadenomen, Kraniopharyngiomen, ausgewählten Fällen von Meningiomen des Planum sphenoidale und des Tuberculum sellae oder bei clivalen Läsionen, z. B. bei Chordomen, Chondrosarkomen oder bestimmten Meningiomen, Vorteile bieten kann. In den letzten drei Jahrzehnten konnten interdisziplinäre chirurgische Teams bestehend aus HNO-Ärzten und Neurochirurgen detaillierte anatomische Kenntnisse vermitteln, neue Ansätze oder Modifikationen etablierter chirurgischer Techniken vorschlagen und somit zu einer kontinuierlichen chirurgischen Weiterbildung beitragen.

Methode Es wurde eine Übersicht über die einschlägige Literatur erstellt, wobei der Schwerpunkt auf der interdisziplinären endoskopischen Chirurgie von Schädelbasisläsionen lag.

Ergebnisse Auf der Grundlage der chirurgischen Erfahrung der Autoren in zwei verschiedenen interdisziplinären endoskopischen Schädelbasiszentren klassifizieren die Autoren die Ansätze für die endoskopische endonasale Schädelbasischirurgie, beschreiben Indikationen und wichtige anatomische Orientierungspunkte für häufige Pathologien und heben chirurgische Techniken zur Vermeidung von Komplikationen hervor.

Schlussfolgerung Die interdisziplinäre endonasale endoskopische Chirurgie vereint chirurgisches Fachwissen, verbessert die Resektionsraten bei vielen Pathologien und minimiert die Morbidität durch Verringern der Häufigkeit chirurgischer Komplikationen.

Schlüsselwörter

Schädelbasischirurgie - endoskopische Operationen - interdisziplinäres Management

Publikationsverlauf

Artikel online veröffentlicht:
02. Mai 2024

• Literatur

• 1 Lund VJ. et al. European position paper on endoscopic management of tumours of the nose, paranasal sinuses and skull base. Rhinol Suppl 2010; 22: 1-143
• 2 Patel CR. et al. Skull Base Anatomy. Otolaryngol Clin North Am 2016; 49: 9-20
• 3 Verillaud B. et al. Endoscopic endonasal skull base surgery. Eur Ann Otorhinolaryngol Head Neck Dis 2012; 129: 190-196
• 4 Kassam AB. et al. Expanded endonasal approach: fully endoscopic, completely transnasal approach to the middle third of the clivus, petrous bone, middle cranial fossa, and infratemporal fossa. Neurosurg Focus 2005; 19: E6
• 5 Kassam A. et al. Expanded endonasal approach: the rostrocaudal axis. Part I. Crista galli to the sella turcica. Neurosurg Focus 2005; 19: E3
• 6 Kassam A. et al. Expanded endonasal approach: the rostrocaudal axis.Part II. Posterior clinoids to the foramen magnum. Neurosurg Focus 2005; 19: E4
• 7 Schwartz TH. et al. Endoscopic cranial base surgery: classification of operative approaches. Neurosurgery 2008; 62: 991-1002
• 8 Schwartz TH, Morgenstern PF, Anand VK. Lessons learned in the evolution of endoscopic skull base surgery. J Neurosurg 2019; 130: 337-346
• 9 Kasemsiri P. et al. Advantages and limitations of endoscopic endonasal approaches to the skull base. World Neurosurg 2014; 82: S12-S21
• 10 Snyderman CH. et al. Endoscopic skull base surgery: principles of endonasal oncological surgery. J Surg Oncol 2008; 97: 658-664
• 11 Kassam AB. et al. Endoscopic endonasal skull base surgery: analysis of complications in the authors' initial 800 patients. J Neurosurg 2011; 114: 1544-1568
• 12 Cavallo LM, Solari D, Cappabianca P. Multiportal Approach to the Skull Base: One Key, Multiple Gates. World Neurosurg 2015; 84: 630-631
• 13 Turri-Zanoni M. et al. Multiportal combined transnasal transoral transpharyngeal endoscopic approach for selected skull base cancers. Head Neck 2016; 38: E2440-e2445
• 14 Sindwani R, Woodard TD, Recinos PF. Building a Successful Endoscopic Skull Base and Pituitary Surgery Practice. Otolaryngol Clin North Am 2016; 49: 1-8
• 15 Cervantes SS, Lal D. Crista galli mucocele: endoscopic marsupialization via frontoethmoid approach. Int Forum Allergy Rhinol 2014; 4: 598-602
• 16 Pinheiro-Neto CD. et al Endoscopic endonasal surgery for nasal dermoids. Otolaryngol Clin North Am 2011; 44: 981-987 Ix
• 17 Selleck AM. et al. Management of Frontal Sinus Tumors. Otolaryngol Clin North Am 2016; 49: 1051-1065
• 18 Shidanshid M. et al. Endoscopic resection of a mucocele of the crista galli. Ear Nose Throat J 2015; 94: E23-E25
• 19 Ma J. et al. Endoscopic transnasal repair of cerebrospinal fluid leaks with and without an encephalocele in pediatric patients: from infants to children. Childs Nerv Syst 2015; 31: 1493-1498
• 20 Nyquist GG. et al. Endoscopic endonasal repair of anterior skull base non-traumatic cerebrospinal fluid leaks, meningoceles, and encephaloceles. J Neurosurg 2010; 113: 961-966
• 21 Re M. et al. Endonasal endoscopic approach for intracranial nasal dermoid sinus cysts in children. Int J Pediatr Otorhinolaryngol 2012; 76: 1217-1222
• 22 Karligkiotis A. et al. Endoscopic endonasal orbital transposition to expand the frontal sinus approaches. Am J Rhinol Allergy 2015; 29: 449-456
• 23 Belotti F. et al. Transfrontal Approach, in Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas, P. Nicolai, et al., Editors. Thieme; 2020. 95.
• 24 Greenfield JP. et al Endoscopic endonasal transethmoidal transcribriform transfovea ethmoidalis approach to the anterior cranial fossa and skull base. Neurosurgery 2010; 66: 883-892 discussion 892
• 25 Verillaud B. et al. Transcribriform and transplanum endoscopic approach for skull-base tumors. Eur Ann Otorhinolaryngol Head Neck Dis 2013; 130: 233-236
• 26 Koutourousiou M. et al. Endoscopic endonasal surgery for olfactory groove meningiomas: outcomes and limitations in 50 patients. Neurosurg Focus 2014; 37: E8
• 27 Fernandez-Miranda JC. et al Expanded endonasal approach for olfactory groove meningioma. Acta Neurochir (Wien) 2009; 151: 287-288 author reply 289-90
• 28 de Divitiis E. et al. Endoscopic transnasal resection of anterior cranial fossa meningiomas. Neurosurg Focus 2008; 25: E8
• 29 Gardner PA. et al Endoscopic endonasal resection of anterior cranial base meningiomas. Neurosurgery 2008; 63: 36-52 discussion 52-4
• 30 Blake DM. et al. Endoscopic endonasal resection of sinonasal and anterior skull base schwannomas. J Clin Neurosci 2014; 21: 1419-1423
• 31 Liu JK, Eloy JA. Expanded endoscopic endonasal transcribriform approach for resection of anterior skull base olfactory schwannoma. J Neurosurg 2012; 32: E3
• 32 Vaz-Guimaraes F. et al. Endoscopic endonasal surgery for epidermoid and dermoid cysts: a 10-year experience. J Neurosurg 2018; 1-11
• 33 Castelnuovo P. et al. Endoscopic endonasal surgery for malignancies of the anterior cranial base. World Neurosurg 2014; 82: S22-S31
• 34 Krischek B. et al. From craniofacial resection to endonasal endoscopic removal of malignant tumors of the anterior skull base. World Neurosurg 2014; 82: S59-S65
• 35 Lund V, Howard DJ, Wei WI. Endoscopic resection of malignant tumors of the nose and sinuses. Am J Rhinol 2007; 21: 89-94
• 36 Lund VJ, Wei WI. Endoscopic surgery for malignant sinonasal tumours: an eighteen year experience. Rhinology 2015; 53: 204-211
• 37 Moya-Plana A. et al. Development of minimally invasive surgery for sinonasal malignancy. Eur Ann Otorhinolaryngol Head Neck Dis 2016; 133: 405-411
• 38 Nicolai P. et al. Endoscopic surgery for malignant tumors of the sinonasal tract and adjacent skull base: a 10-year experience. Am J Rhinol 2008; 22: 308-316
• 39 Nicolai P, Castelnuovo P, Bolzoni Villaret A. Endoscopic resection of sinonasal malignancies. Curr Oncol Rep 2011; 13: 138-144
• 40 Villaret AB. et al. Endoscopic transnasal craniectomy in the management of selected sinonasal malignancies. Am J Rhinol Allergy 2010; 24: 60-65
• 41 Hanna E. et al. Endoscopic resection of sinonasal cancers with and without craniotomy: oncologic results. Arch Otolaryngol Head Neck Surg 2009; 135: 1219-1224
• 42 Meccariello G. et al. Endoscopic nasal versus open approach for the management of sinonasal adenocarcinoma: A pooled-analysis of 1826 patients. Head Neck 2016; 38: E2267-E2274
• 43 Liu JK. et al. Transbasal versus endoscopic endonasal versus combined approaches for olfactory groove meningiomas: importance of approach selection. Neurosurg Focus 2018; 44: E8
• 44 Ottenhausen M. et al. Decision-making algorithm for minimally invasive approaches to anterior skull base meningiomas. Neurosurg Focus 2018; 44: E7
• 45 Banu MA. et al. Endoscope-assisted endonasal versus supraorbital keyhole resection of olfactory groove meningiomas: comparison and combination of 2 minimally invasive approaches. J Neurosurg 2016; 124: 605-620
• 46 Tajudeen BA. et al. Smell preservation following endoscopic unilateral resection of esthesioneuroblastoma: a multi-institutional experience. Int Forum Allergy Rhinol 2016; 6: 1047-1050
• 47 Ferrari M. et al. Transcribriform Approach, in Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas, P. Nicolai, et al., Editors. 2020: 108-132
• 48 Mattavelli D. et al. Three-Layer Reconstruction with Iliotibial Tract After Endoscopic Resection of Sinonasal Tumors. World Neurosurg 2017; 101: 486-492
• 49 Mattavelli D. et al. Complications and donor site morbidity of 3-layer reconstruction with iliotibial tract of the anterior skull base: Retrospective analysis of 186 patients. Head Neck 2018; 40: 63-69
• 50 Cappabianca P. et al. Endoscopic endonasal transsphenoidal surgery: procedure, endoscopic equipment and instrumentation. Childs Nerv.Syst. 2004; 20: 796-801
• 51 Conrad J. et al. Binostril versus mononostril approaches in endoscopic transsphenoidal pituitary surgery: clinical evaluation and cadaver study. J Neurosurg 2016; 125: 334-345
• 52 Reisch R, Briner HR, Hickmann AK. How I do it: the mononostril endonasal transethmoidal-paraseptal approach. Acta Neurochir (Wien) 2017; 159: 453-457
• 53 Hadad G. et al. A novel reconstructive technique after endoscopic expanded endonasal approaches: vascular pedicle nasoseptal flap. Laryngoscope 2006; 116: 1882-1886
• 54 Oldfield EH, Vortmeyer AO. Development of a histological pseudocapsule and its use as a surgical capsule in the excision of pituitary tumors. J Neurosurg 2006; 104: 7-19
• 55 Knosp E. et al Pituitary adenomas with invasion of the cavernous sinus space: a magnetic resonance imaging classification compared with surgical findings. Neurosurgery 1993; 33: 610-617 discussion 617-8
• 56 Nagata Y. et al. Removal of the Medial Wall of the Cavernous Sinus for Functional Pituitary Adenomas: A Technical Report and Pathologic Significance. World Neurosurg 2019; 126: 53-58
• 57 Micko A. et al. Challenging Knosp high-grade pituitary adenomas. J Neurosurg 2019; 1-8
• 58 Cohen-Cohen S. et al. The medial wall of the cavernous sinus. Part 2: Selective medial wall resection in 50 pituitary adenoma patients. J Neurosurg 2018; 1-10
• 59 Woodworth GF. et al. Surgical outcomes using a medial-to-lateral endonasal endoscopic approach to pituitary adenomas invading the cavernous sinus. J Neurosurg 2014; 120: 1086-1094
• 60 Silveira-Bertazzo G. et al. Expanded endoscopic endonasal approach for extending suprasellar and third ventricular lesions. Acta Neurochir (Wien) 2020; 162: 2403-2408
• 61 Zwagerman NT. et al. Endoscopic transnasal skull base surgery: pushing the boundaries. J Neurooncol 2016; 130: 319-330
• 62 Schreiber A. et al. Modular Endoscopic Medial Maxillectomies: Quantitative Analysis of Surgical Exposure in a Preclinical Setting. World Neurosurg 2017; 100: 44-55
• 63 Zhou B. et al. Intranasal endoscopic prelacrimal recess approach to maxillary sinus. Chin Med J (Engl) 2013; 126: 1276-1280
• 64 Morrissey DK, Wormald PJ, Psaltis AJ. Prelacrimal approach to the maxillary sinus. Int Forum Allergy Rhinol 2016; 6: 214-218
• 65 Suzuki M. et al. Modified transnasal endoscopic medial maxillectomy through prelacrimal duct approach. Laryngoscope 2017; 127: 2205-2209
• 66 Guo T. et al. Endoscopic endonasal surgery for pterygopalatine fossa schwannoma via prelacrimal recess-maxillary sinus. B-ENT 2014; 10: 81-86
• 67 He S. et al. A combination of modified transnasal endoscopic maxillectomy via transnasal prelacrimal recess approach with or without radiotherapy for selected sinonasal malignancies. Eur Arch Otorhinolaryngol 2015; 272: 2933-2938
• 68 Bertazzoni G. et al. Contemporary management of juvenile angiofibroma. Curr Opin Otolaryngol Head Neck Surg 2019; 27: 47-53
• 69 Langdon C. et al. Expanded endoscopic endonasal surgery for advanced stage juvenile angiofibromas: a retrospective multi-center study. Rhinology 2016; 54: 239-246
• 70 Karligkiotis A. et al. Role of endoscopic surgery in the management of sinonasal and skull base schwannomas. Head Neck 2016; 38: E2074-E2082
• 71 Shi J. et al. Neuroendoscopic Resection of Trigeminal Schwannoma in the Pterygopalatine/Infratemporal Fossa via the Transnasal Perpendicular Plate Palatine Bone or Transnasal Maxillary Sinus Approach. World Neurosurg 2018; 120: e1011-e1016
• 72 Yang L. et al. Endoscopic endonasal approach for trigeminal schwannomas: our experience of 39 patients in 10 years. Eur Arch Otorhinolaryngol 2018; 275: 735-741
• 73 Zhou B. et al. The intranasal endoscopic removal of schwannoma of the pterygopalatine and infratemporal fossae via the prelacrimal recess approach. J Neurosurg 2016; 124: 1068-1073
• 74 Battaglia P. et al. Endoscopic transnasal approaches to pterygopalatine fossa tumors. Head Neck 2016; 38: E214-E220
• 75 Elhadi AM. et al. Infraorbital nerve: a surgically relevant landmark for the pterygopalatine fossa, cavernous sinus, and anterolateral skull base in endoscopic transmaxillary approaches. J Neurosurg 2016; 125: 1460-1468
• 76 Nicolai P. et al. Transpterygomaxillary Approach, in Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas, P. Nicolai, et al., Editors. 2020: 271-288
• 77 Stambuk HE, Patel SG. Imaging of the parapharyngeal space. Otolaryngol Clin North Am 2008; 41: 77-101 vi
• 78 Dallan I. et al. Endoscopic transnasal anatomy of the infratemporal fossa and upper parapharyngeal regions: correlations with traditional perspectives and surgical implications. Minim Invasive Neurosurg 2010; 53: 261-269
• 79 Ohue S. et al Preauricular transzygomatic anterior infratemporal fossa approach for tumors in or around infratemporal fossa lesions. Neurosurg Rev 2012; 35: 583-592 discussion 592
• 80 Hosseini SM. et al. Endonasal transpterygoid approach to the infratemporal fossa: correlation of endoscopic and multiplanar CT anatomy. Head Neck 2012; 34: 313-320
• 81 Schreiber A. et al. Infratemporal Fossa Approach, in Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas, P. Nicolai, et al., Editors. 2020: 289-306
• 82 Schmidt RF. et al. Surgical nuances for the endoscopic endonasal transpterygoid approach to lateral sphenoid sinus encephaloceles. Neurosurgical Focus FOC 2012; 32: E5
• 83 R. V. et al. The Suprapetrous (Meckel’s Cave) Approach, in Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas, P. Nicolai, et al., Editors. 2020. Thieme; 374-375
• 84 Rampinelli V. et al. The Suprapetrous (Meckel’s Cave) Approach, in Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas, P. Nicolai, et al., Editors. 2020. Thieme; 374-375
• 85 Ferrari M. et al. Surgical anatomy of the parapharyngeal space: Multiperspective, quantification-based study. Head Neck 2019; 41: 642-656
• 86 Prasad SC. et al. Lateral skull base approaches in the management of benign parapharyngeal space tumors. Auris Nasus Larynx 2015; 42: 189-198
• 87 Castelnuovo P. et al. Endoscopic endonasal nasopharyngectomy in selected cancers. Otolaryngol Head Neck Surg 2013; 149: 424-430
• 88 Liu J. et al. Salvage endoscopic nasopharyngectomy for local recurrent or residual nasopharyngeal carcinoma: a 10-year experience. Int J Clin Oncol 2017; 22: 834-842
• 89 Vlantis AC. et al. Endoscopic nasopharyngectomy in recurrent nasopharyngeal carcinoma: a case series, literature review, and pooled analysis. Int Forum Allergy Rhinol 2017; 7: 425-432
• 90 Ong YK. et al. Endoscopic nasopharyngectomy and its role in managing locally recurrent nasopharyngeal carcinoma. Otolaryngol Clin North Am 2011; 44: 1141-1154
• 91 Lepera D. et al. Endoscopic transnasal resection of Eustachian-tube dermoid in a new-born infant. Auris Nasus Larynx 2015; 42: 235-240
• 92 Schreiber A. et al. Medial Parapharyngeal Approach, in Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas, P. Nicolai, et al., Editors. 2020: 409-428