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Surgical Approaches to Central Skull Base and Postsurgical Imaging

The close proximity to or intricate involvement of critical neurovascular structures in the central skull base region or both present unique surgical challenges. Varied surgical approaches may be used to remove tumors in this region, including open craniotomies and minimally invasive transnasal or t...

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Bibliographic Details
Published in:Seminars in ultrasound, CT, and MRI CT, and MRI, 2013-10, Vol.34 (5), p.476-489
Main Authors: Chaaban, Mohamad R., MD, Woodworth, Bradford A., MD, Vattoth, Surjith, MD, Shane Tubbs, R., PhD, Owen Riley, Kristen, MD
Format: Article
Language:English
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Summary:The close proximity to or intricate involvement of critical neurovascular structures in the central skull base region or both present unique surgical challenges. Varied surgical approaches may be used to remove tumors in this region, including open craniotomies and minimally invasive transnasal or transfacial endoscopic approaches. The ideal surgical technique is chosen based on multiple factors including the aggressiveness, histopathology, and location of the tumor with respect to regional neurovascular elements. Postsurgical image analysis of the central skull base requires an intimate understanding of preoperative and expected postoperative appearance in relation to the nature of the excision and surgical materials used.
ISSN:0887-2171
1558-5034
DOI:10.1053/j.sult.2013.08.005