Publication Date
2015
Journal Title
J Neurol Surg Rep
Abstract
Introduction Historically, access to the anterior skull base was achieved with open procedures. The paradigms to this approach were challenged with the advent of minimally disruptive endoscopic surgical techniques and supporting technology. The next step in the evolution of minimally disruptive surgery was the combination of multiportal endoscopic surgery. Results The patient was an 18-year-old man who presented with right-sided proptosis. Further diagnostic tests revealed a fibrous dysplasia (FD) occupying the skull base and orbit. The lesion was successfully resected. Conclusions The location of the tumor in this case was challenging, in which surgeons at some centers would have opted to have performed as an open procedure instead of endoscopically. The combined transnasal/transorbital approach is an uncommonly used technique that we have used to remove this tumor successfully. The patient also had a unique disease (FD) in a unique location that was treated without complications. This case report highlights how surgeons may use an expanded armamentarium in dealing with complex pathologies.
Volume Number
76
Issue Number
2
Pages
e291-6
Document Type
Article
EPub Date
2015/12/02
Status
Faculty, Northwell Researcher
Facility
School of Medicine; Northwell Health
Primary Department
Otolaryngology
Additional Departments
Neurosurgery
PMID
DOI
10.1055/s-0035-1566126