Preview

Russian journal of neurosurgery

Advanced search

Reconstruction of central skull base defects after the removal of chiasmosellar tumors

https://doi.org/10.17650/1683-3295-2018-20-3-104-110

Abstract

The study objective is to describe currently available and optimal methods of central skull base reconstruction.

Material and methods. This article describes a 10-year experience of endoscopic surgery in reconstructing the defects after the removal of chiasmosellar tumors.

Results. We developed a strategy for assessing the risks for postoperative liquorrhea and choosing an optimal surgical technique. This strategy allows maintaining the incidence of postoperative liquorrhea of 4 %.

Conclusion. Autografts are the most widely used material for reconstructing skull base defects after the removal of chiasmosellar tumors. The multilayer reconstruction is more preferable due to the high risk of postoperative liquorrhea.

About the Authors

P. L. Kalinin
N.N. Burdenko National Medical Research Center of Neurosurgery, Ministry of Health of Russia
Russian Federation
16 4th Tverskaya-Yamskaya St., Moscow 125047


M. A. Kutin
N.N. Burdenko National Medical Research Center of Neurosurgery, Ministry of Health of Russia
Russian Federation
16 4th Tverskaya-Yamskaya St., Moscow 125047


D. V. Fomichev
N.N. Burdenko National Medical Research Center of Neurosurgery, Ministry of Health of Russia
Russian Federation
16 4th Tverskaya-Yamskaya St., Moscow 125047


О. I. Sharipov
N.N. Burdenko National Medical Research Center of Neurosurgery, Ministry of Health of Russia
Russian Federation
16 4th Tverskaya-Yamskaya St., Moscow 125047


A. V. Kosyrkova
N.N. Burdenko National Medical Research Center of Neurosurgery, Ministry of Health of Russia
Russian Federation
16 4th Tverskaya-Yamskaya St., Moscow 125047


Yu. V. Strunina
N.N. Burdenko National Medical Research Center of Neurosurgery, Ministry of Health of Russia
Russian Federation
16 4th Tverskaya-Yamskaya St., Moscow 125047


References

1. Dandy W.E. Pneumocephalus(intracranial pneumatocele or aerocele). Arch Surg 1926;12(5):949–82.

2. Kassam A.B., Prevedello D.M., Carrau R.L. et al. Endoscopic endonasal skull base surgery: analysis of complications in the authors’ initial 800 patients. J Neurosurg 2011;114(6):1544–68. DOI: 10.3171/2010.10.JNS09406. PMID: 21166570.

3. Wigand M.E. Transnasal ethmoidectomy under endoscopical control. Rhinology 1981;19(1):7–15. PMID: 7233000.

4. Kono Y., Prevedello D.M., Snyderman C.H. et al. One thousand endoscopic skull base surgical procedures demystifying the infection potential: incidence and description of postoperative meningitis and brain abscesses. Infect Control Hosp Epidemiol 2011;32(1):77–83. DOI: 10.1086/657635. PMID: 21121816.

5. Amano K., Hori T., Kawamata T., Okada Y. Repair and prevention of cerebrospinal fluid leakage in transsphenoidal surgery: a sphenoid sinus mucosa technique. Neurosurg Rev 2016;39(1):123–31. DOI: 10.1007/s10143-015-0667-6. PMID: 26338198.

6. Choby G.W., Mattos J.L., Hughes M.A. et al. Delayed nasoseptal flaps for endoscopic skull base reconstruction: proof of concept and evaluation of outcomes. Otolaryngol Head Neck Surg 2015;152(2):255–9. DOI: 10.1177/0194599814561431. PMID: 25475502.

7. Fiorindi A., Gioffrè G., Boaro A. et al. Banked fascia lata in sellar dura reconstruction after endoscopic transsphenoidal skull base surgery. J Neurol Surg B Skull Base 2015;76(4):303–9. DOI: 10.1055/s-0035–1547364. PMID: 26225321.

8. Zweig J.L., Carrau R.L., Celin S.E. et al. Endoscopic repair of cerebrospinal fluid leaks to the sinonasal tract: predictors of success. Otolaryngol Head Neck Surg 2000;123(3):195–201. DOI: 10.1067/mhn.2000.107452. PMID: 10964290.

9. Sciarretta V., Mazzatenta D., Ciarpaglini R. et al. Surgical repair of persisting CSF leaks following standard or extended endoscopic transsphenoidal surgery for pituitary tumor. Minim Invasive Neurosurg 2010;53(2):55–9. DOI: 10.1055/s-0029-1246161. PMID: 20533135.

10. Koutourousiou M., Gardner P.A., Fernandez-Miranda J.C. et al. Endoscopic endonasal surgery for craniopharyngiomas: surgical outcome in 64 patients. J Neurosurg 2013;119(5):1194–207. DOI: 10.3171/2013.6.JNS122259. PMID: 23909243.

11. Paluzzi A., Fernandez-Miranda J.C., Tonya Stefko S. et al. Endoscopic endonasal approach for pituitary adenomas: a series of 555 patients. Pituitary 2014;17(4):307–19. DOI: 10.1007/s11102-013-0502-4. PMID: 23907570.

12. КKalinin P.L., Fomichev D.V., Kadashev B.A. et al. Procedure for endoscopic endonasal transsphenoidal adenomectomy. Zhurnal «Voprosy neirokhirurgii im. N.N. Burdenko» = Problems of Neurosurgery n. a. N.N. Burdenko 2007;(4):42–5. (In Russ.).

13. Kalinin P.L., Fomichev D.V., Kutin M.A. et al. Extended endoscopic endonasal transsphenoidal approaches in skull base surgery. Zhurnal “Voprosy neirokhirurgii im. N.N. Burdenko” = Problems of Neurosurgery n. a. N.N. Burdenko 2008;(4):47–9. (In Russ.).

14. Kalinin P.L., Fomichev D.V., Kadashev B.A. et al. Plasty of skull base defects after transsphenoidal endoscopic surgery. Vrach = The Doctor 2008;(12):60–3. (In Russ.)].

15. Kalinin P.L., Kutin M.A., Fomichev D.V. et al. Comparative analysis of the effectiveness of the use of various plastic materials and adhesives. In: Potapov A.A., Lopatin A.S., Captains D.N. et al. Endoscopic diagnosis and treatment of nasal liquorrhea. Moscow: Prakticheskaya meditsina, 2015. Pp. 166–168. (In Russ.)].

16. Fomochkina L.A., Kapitanov D.N., Kalinin P.L. et al. ENT aspects of endoscopic endonasal transsphenoidal surgery of chiasmatic-sellar region. Rossiyskaya Rinologiya = Russian Rhinology 2012;20(1):13–8. (In Russ.).

17. Kutin M.A., Kalinin P.L., Fomichev D.V. et al. Experience of skull base defect reconstruction using local pedicled grafts in endoscopic transsphenoidal surgery. Zhurnal “Voprosy neirokhirurgii im. N.N. Burdenko” = Problems of Neurosurgery n. a. N.N. Burdenko 2012;76(2):42–9. (In Russ.).

18. Jane J.A. Jr. “Gasket-seal” closure for cerebrospinal fluid leaks. World neurosurg 2013;80(5):491–2. DOI: 10.1016/j.wneu. 2011.10.007. PMID: 22120233.

19. Cherekaev V.A., Golbin D.A., Belov A.I., Borodin V.V. Closure of anterior and middle skull base defects using pedicled buccal fad pad flap. Zhurnal “Voprosy neirokhirurgii im. N.N. Burdenko” = Problems of Neurosurgery n. a. N.N. Burdenko 2010;(4):3–10. (In Russ.).


Review

For citations:


Kalinin P.L., Kutin M.A., Fomichev D.V., Sharipov О.I., Kosyrkova A.V., Strunina Yu.V. Reconstruction of central skull base defects after the removal of chiasmosellar tumors. Russian journal of neurosurgery. 2018;20(3):104-110. (In Russ.) https://doi.org/10.17650/1683-3295-2018-20-3-104-110

Views: 846


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1683-3295 (Print)
ISSN 2587-7569 (Online)
X