Personal experience in transnasal endoscopic resection of the olfactory groove meningiomas. What can an otolaryngologist offer to a neurosurgeon?. Skorek, A., Liczbik, W., Stankiewicz, C., Kloc, W., & Plichta, Ł. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 271(5):1037--41, May, 2014.
Personal experience in transnasal endoscopic resection of the olfactory groove meningiomas. What can an otolaryngologist offer to a neurosurgeon? [link]Paper  doi  abstract   bibtex   
Olfactory groove meningioma is a demanding therapeutic problem involving two medical specialties, otolaryngology and neurosurgery. The use of transnasal endoscopic (TNE) approach to the tumour has been proved effective in many publications. Three patients with meningiomas localized in olfactory groove were treated in 2011 and 2012 by the otolaryngologist-neurosurgeon team using TNE approach and neuronavigation. The diagnosis was based on MR and CT images. In all patients after tumour removal an endoscopic anterior cranial fossa floor reconstruction was performed using homogeneous cartilage or titanium mesh and Hadad-Bassagasteguy flap. During postoperative period in all patients lumbar drainage was used. There were no cerebrospinal fluid leakage episodes. No recurrence was observed in 22, 12 and 8 months of follow-up, respectively. The authors describe otolaryngological and neurosurgical aspects of TNE approach to anterior cranial fossa with special regard to possible radical resection (according to Simpson) and reconstruction of the bony postoperative defect. TNE is a feasible operative method in olfactory groove meningioma management due to good tumour visibility, lack of brain traction, limited neurovascular structure manipulation and acceptable risk of neurological deficiencies when compared to open approach. Cosmetic aspect and short hospitalization is also of great importance.
@article{ skorek_personal_2014,
  title = {Personal experience in transnasal endoscopic resection of the olfactory groove meningiomas. {What} can an otolaryngologist offer to a neurosurgeon?},
  volume = {271},
  url = {http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3978380&tool=pmcentrez&rendertype=abstract},
  doi = {10.1007/s00405-013-2645-3},
  abstract = {Olfactory groove meningioma is a demanding therapeutic problem involving two medical specialties, otolaryngology and neurosurgery. The use of transnasal endoscopic (TNE) approach to the tumour has been proved effective in many publications. Three patients with meningiomas localized in olfactory groove were treated in 2011 and 2012 by the otolaryngologist-neurosurgeon team using TNE approach and neuronavigation. The diagnosis was based on MR and CT images. In all patients after tumour removal an endoscopic anterior cranial fossa floor reconstruction was performed using homogeneous cartilage or titanium mesh and Hadad-Bassagasteguy flap. During postoperative period in all patients lumbar drainage was used. There were no cerebrospinal fluid leakage episodes. No recurrence was observed in 22, 12 and 8 months of follow-up, respectively. The authors describe otolaryngological and neurosurgical aspects of TNE approach to anterior cranial fossa with special regard to possible radical resection (according to Simpson) and reconstruction of the bony postoperative defect. TNE is a feasible operative method in olfactory groove meningioma management due to good tumour visibility, lack of brain traction, limited neurovascular structure manipulation and acceptable risk of neurological deficiencies when compared to open approach. Cosmetic aspect and short hospitalization is also of great importance.},
  number = {5},
  journal = {European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery},
  author = {Skorek, Andrzej and Liczbik, Wiesław and Stankiewicz, Czesław and Kloc, Wojciech and Plichta, Łukasz},
  month = {May},
  year = {2014},
  keywords = {Aged, Anterior, Anterior: surgery, Cartilage, Cartilage: transplantation, Computer-Assisted, Cooperative Behavior, Cranial Fossa, Anterior, Cranial Fossa, Anterior: surgery, Endoscopy, Endoscopy: methods, Feasibility Studies, Female, Follow-Up Studies, Humans, Image Interpretation, Computer-Assisted, Imaging, Three-Dimensional, Interdisciplinary Communication, Magnetic Resonance Imaging, Male, Meningeal Neoplasms, Meningeal Neoplasms: diagnosis, Meningeal Neoplasms: surgery, Meningioma, Meningioma: diagnosis, Meningioma: surgery, Middle Aged, Neuronavigation, Patient Care Team, Postoperative Complications, Postoperative Complications: diagnosis, Surgical Flaps, Surgical Mesh, Three-Dimensional, Titanium, Tomography, X-Ray Computed, X-Ray Computed},
  pages = {1037--41}
}

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