The transglabellar/subcranial approach to the anterior skull base - A review of 72 cases

Citation
Rm. Kellman et L. Marentette, The transglabellar/subcranial approach to the anterior skull base - A review of 72 cases, ARCH OTOLAR, 127(6), 2001, pp. 687-690
Citations number
28
Categorie Soggetti
Otolaryngology,"da verificare
Journal title
ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY
ISSN journal
08864470 → ACNP
Volume
127
Issue
6
Year of publication
2001
Pages
687 - 690
Database
ISI
SICI code
0886-4470(200106)127:6<687:TTATTA>2.0.ZU;2-Y
Abstract
Objectives: To describe the transglabellar/subcranial approach to the anter ior skull base and to compare it with more traditional approaches to cranio facial resection. Design: A retrospective analysis of 72 cases at 2 academic medical centers. The main parameters analyzed were the disease entities treated, the averag e operating room time, the average amount of blood loss, the number of tran sfusions, the length of intensive care unit and hospital stays, and complic ation rates. These were compared with published data for traditional cranio facial approaches. Setting: All patients were operated on by the authors in collaboration with neurosurgical teams at the State University of New York Upstate Medical Un iversity, Syracuse, and the University of Michigan Hospital, Ann Arbor. Patients: The transglabellar/subcranial approach was performed 72 times in 69 patients in this series. Forty-two procedures in 40 patients were perfor med for malignant disease and 30 procedures in 29 patients were performed f or benign entities. Patients' ages ranged from 2 to 78 years. Follow-up ran ged from 6 months to 4 years, with a minimum follow-up of 1 year for surviv ors. Results: There were no operative mortalities. Operating time, average amoun t of blood loss, length of hospital and intensive care unit stays, and comp lication rates compared favorably with published results of traditional cra niofacial resections. Conclusions: The transglabellar/subcranial approach to the anterior skull b ase may be a reasonable technique for the surgical management of lesions in the region of the anterior skull base. It provides excellent exposure of t he nasal cavity, the orbits, and the ethmoid and sphenoid sinuses, while al lowing wide access to the anterior fossa with a minimum amount of frontal l obe retraction.