Journal Information
Share
Share
Download PDF
More article options
Clinical Research
Available online 12 January 2024
Endonasal versus supraorbital approach for anterior skull base meningiomas: Results and quality of life assessment from a single-surgeon cohort
Abordaje endonasal versus supraorbitario para los meningiomas de la base del cráneo anterior: resultados y evaluación de la calidad de vida de una cohorte de un solo cirujano
Jorge Toralesa, Alberto Di Sommaa,b,
Corresponding author
adisomma@clinic.cat

Corresponding author.
, Isam Alobidc, Mauricio Lopezb, Jhon Hoyosa, Abel Ferresa, Ruben Morillasa, Luis Reyesa, Pedro Roldana, Ricard Valerod, Joaquim Enseñata,b
a Departments of Neurological Surgery, Hospital Clínic de Barcelona, Barcelona, Spain
b Universitat de Barcelona, Barcelona, Spain
c Departments of ENT Surgery, Hospital Clínic de Barcelona, Barcelona, Spain
d Departments of Anesthesiology, Hospital Clínic de Barcelona, Barcelona, Spain
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (2)
Tables (4)
Table 1. General patients’ features in both supraorbital and endoscopic endonasal group.
Table 2. Outcomes in both supraorbital and endoscopic endonasal group.
Table 3. Complications registered in both supraorbital and endoscopic endonasal group.
Table 4. Quality of life analysis in both groups of patients.
Show moreShow less
Abstract
Objective

In this prospective non-randomized study we reported our experience related to planum sphenoidale (PS) and tuberculum sellae (TS) meningiomas in a similar cohort of patients operated via the endonasal or the supraorbital route. A comprehensive quality of life analysis has been performed.

Methods

Being comparable in general features, between November 2017 to January 2020, a total of 20 patients with anterior skull base meningioma were included. Hence, 10 patients were treated using the supraorbital keyhole procedure (SO) while 10 patients received an endoscopic endonasal approach (EEA). Both surgical techniques were analyzed and compared. Quality of life has been analyzed with the SF-36 questionnaire.

Results

Twenty patients were identified who underwent either EEA (n=10) or SO (n=10). The average extent of resection achieved was not significantly different between the 2 groups. Post-operatively, the EEA group demonstrated a longer hospital stay and bed days compared with SO patients as well as a longer surgical time. There was a significant rate of more CSF leakage after EEA then after SO (20% vs 0%, p=0,0491). The follow-up period resulted shorter in the SO group, with a slight increased recurrence rate. Overall, no differences in visual outcome were detected. There were no differences in terms of quality of life between the two groups in all the explored items.

Conclusions

In this single-center single-surgeon study of similarly sized and located PS and TS meningiomas, EEA showed longer hospital stays with higher degree of CSF leak compared with the SO group. Supraorbital craniotomy via eyebrow incision reported a comparable quality of life results, even if with a slightly higher percentage of recurrence and less follow-up.

Keywords:
Endoscopic endonasal
Supraorbital
Meningioma
Skull base
Resumen
Objetivo

En este estudio prospectivo no aleatorizado, informamos nuestra experiencia relacionada con los meningiomas del plano esfenoidal (PS) y la tuberculosis selar (TS) en una cohorte similar de pacientes operados por vía endonasal o supraorbitaria. Se ha realizado un análisis exhaustivo de la calidad de vida.

Métodos

Siendo comparables en características generales, entre noviembre de 2017 a enero de 2020 se incluyeron un total de 20 pacientes con meningioma de base de cráneo anterior. Por lo tanto, 10 pacientes fueron tratados mediante el procedimiento de ojo de cerradura supraorbitario (SO), mientras que 10 pacientes recibieron un abordaje endonasal endoscópico (EEA). Se analizaron y compararon ambas técnicas quirúrgicas. La calidad de vida se ha analizado con el cuestionario SF-36.

Resultados

Se identificaron veinte pacientes que se sometieron a EEA (n=10) o SO (n=10). La extensión promedio de la resección lograda no fue significativamente diferente entre los 2 grupos. Después de la operación, el grupo EEA demostró una estadía hospitalaria y días de cama más largos en comparación con los pacientes SO, así como un tiempo quirúrgico más prolongado. Hubo una tasa significativa de más fistula de LCR después de EEA que después de SO (20% frente a 0%, p=0,0491). El período de seguimiento resultó más corto en el grupo SO, con una tasa de recurrencia ligeramente mayor. En general, no se detectaron diferencias en el resultado visual. No hubo diferencias en cuanto a la calidad de vida entre los dos grupos en todos los ítems explorados.

Conclusiones

En este estudio de un solo centro y un solo cirujano de meningiomas PS y TS de tamaño y ubicación similar, EEA mostró estancias hospitalarias más prolongadas con un mayor grado de fuga de LCR en comparación con el grupo SO. La craneotomía supraorbitaria a través de una incisión en la ceja reportó resultados de calidad de vida comparables, aunque con un porcentaje ligeramente mayor de recurrencia y menos seguimiento.

Palabras clave:
Endoscopica endonasal
Sovraorbitario
Meningioma
Base de cráneo

Article

These are the options to access the full texts of the publication Neurocirugía (English edition)
Member
Member of the Sociedad Española de Neurocirugía

If it is the first time you have accessed you can obtain your credentials by contacting Elsevier Spain in suscripciones@elsevier.com or by calling our Customer Service at902 88 87 40 if you are calling from Spain or at +34 932 418 800 (from 9 to 18h., GMT + 1) if you are calling outside of Spain.

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option ¿I have forgotten my password¿.

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Neurocirugía (English edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Neurocirugía (English edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?