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International forum of allergy & rhinology · 2019

ICAR: endoscopic skull-base surgery.

Consensus StatementСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Wang Eric W, Zanation Adam M, Gardner Paul A, Schwartz Theodore H, Eloy Jean Anderson, Adappa Nithin D, Bettag Martin, Bleier Benjamin S, Cappabianca Paolo, Carrau Ricardo L, Casiano Roy R, Cavallo Luigi M, Ebert Charles S, El-Sayed Ivan H, Evans James J, Fernandez-Miranda Juan C, Folbe Adam J, Froelich Sebastien, Gentili Fred, Harvey Richard J, Hwang Peter H, Jane John A, Kelly Daniel F, Kennedy David, Knosp Engelbert, Lal Devyani, Lee John Y K, Liu James K, Lund Valerie J, Palmer James N, Prevedello Daniel M, Schlosser Rodney J, Sindwani Raj, Solares C Arturo, Tabaee Abtin, Teo Charles, Thirumala Parthasarathy D, Thorp Brian D, de Arnaldo Silva Vellutini Eduardo, Witterick Ian, Woodworth Bradford A, Wormald Peter-John, Snyderman Carl H

Аннотация

BACKGROUND: Endoscopic skull-base surgery (ESBS) is employed in the management of diverse skull-base pathologies. Paralleling the increased utilization of ESBS, the literature in this field has expanded rapidly. However, the rarity of these diseases, the inherent challenges of surgical studies, and the continued learning curve in ESBS have resulted in significant variability in the quality of the literature. To consolidate and critically appraise the available literature, experts in skull-base surgery have produced the International Consensus Statement on Endoscopic Skull-Base Surgery (ICAR:ESBS).

METHODS: Using previously described methodology, topics spanning the breadth of ESBS were identified and assigned a literature review, evidence-based review or evidence-based review with recommendations format. Subsequently, each topic was written and then reviewed by skull-base surgeons in both neurosurgery and otolaryngology. Following this iterative review process, the ICAR:ESBS document was synthesized and reviewed by all authors for consensus.

RESULTS: The ICAR:ESBS document addresses the role of ESBS in primary cerebrospinal fluid (CSF) rhinorrhea, intradural tumors, benign skull-base and orbital pathology, sinonasal malignancies, and clival lesions. Additionally, specific challenges in ESBS including endoscopic reconstruction and complication management were evaluated.

CONCLUSION: A critical review of the literature in ESBS demonstrates at least the equivalency of ESBS with alternative approaches in pathologies such as CSF rhinorrhea and pituitary adenoma as well as improved reconstructive techniques in reducing CSF leaks. Evidence-based recommendations are limited in other pathologies and these significant knowledge gaps call upon the skull-base community to embrace these opportunities and collaboratively address these shortcomings.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты