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Erschienen in:

10.11.2019 | Review

Endoscopic endonasal versus transcranial approach to resection of olfactory groove meningiomas: a systematic review

verfasst von: Aarti Purohit, Roshani Jha, Adham M. Khalafallah, Carrie Price, Nicholas R. Rowan, Debraj Mukherjee

Erschienen in: Neurosurgical Review | Ausgabe 6/2020

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Abstract

Despite the increasing utility of the endoscopic endonasal approach (EEA) for management of anterior skull base (ASB) pathologies, the optimal treatment strategy for olfactory groove meningiomas (OGM) remains unclear. This project sought to systematically compare outcomes of EEA management with conventional transcranial approach (TCA) for the treatment of OGMs. A systematic review was performed to identify studies that compared outcomes following EEA and TCA for OGMs. Data extracted from each study included gross total resection (GTR), incidence of cerebrospinal fluid (CSF) leaks, and post-operative complications including anosmia. The results of the search yielded 5 studies which met the criteria for inclusion and analysis. All studies compared TCA (n = 922) with EEA (n = 141) outcomes for OGMs. Overall, the rate of gross total resection (GTR) was lower among the endoscopic group (70.9%) relative to the transcranial group (91.5%). The rate of post-operative CSF leak was 6.3% vs. 25.5% for the transcranial and endoscopic groups, respectively. Post-operative anosmia was higher for patients undergoing EEA (95.9%) compared with patients in the transcranial group (37.4%). In this analysis, EEA was associated with a lower rate of GTR and higher incidences of CSF leaks and post-operative anosmia. However, with increasing surgeon familiarity of the endoscopic anatomy and technique for managing ASB pathologies, a nuanced approach may be used to minimize patient morbidity and widen the spectrum of skull base surgery.
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Literatur
1.
Zurück zum Zitat Linsler S, Keller C, Urbschat S et al (2016) Prognosis of meningiomas in the early 1970s and today. Clin Neurol Neurosurg 149:98–103PubMedCrossRef Linsler S, Keller C, Urbschat S et al (2016) Prognosis of meningiomas in the early 1970s and today. Clin Neurol Neurosurg 149:98–103PubMedCrossRef
2.
Zurück zum Zitat Nakamura M, Struck M, Roser F et al (2007) Olfactory groove meningiomas: clinical outcome and recurrence rates after tumor removal through the frontolateral and bifrontal approach. Neurosurgery. 60(5):844–852PubMedCrossRef Nakamura M, Struck M, Roser F et al (2007) Olfactory groove meningiomas: clinical outcome and recurrence rates after tumor removal through the frontolateral and bifrontal approach. Neurosurgery. 60(5):844–852PubMedCrossRef
3.
Zurück zum Zitat Spektor S, Valarezo J, Fliss DM et al (2005) Olfactory groove meningiomas from neurosurgical and ear, nose, and throat perspectives: approaches, techniques, and outcomes. Neurosurgery. 57(4 Suppl):268–280PubMed Spektor S, Valarezo J, Fliss DM et al (2005) Olfactory groove meningiomas from neurosurgical and ear, nose, and throat perspectives: approaches, techniques, and outcomes. Neurosurgery. 57(4 Suppl):268–280PubMed
4.
Zurück zum Zitat Jho HD, Ha HG (2004) Endoscopic endonasal skull base surgery: Part 1--The midline anterior fossa skull base. Minim Invasive Neurosurg 47(1):1–8PubMedCrossRef Jho HD, Ha HG (2004) Endoscopic endonasal skull base surgery: Part 1--The midline anterior fossa skull base. Minim Invasive Neurosurg 47(1):1–8PubMedCrossRef
5.
Zurück zum Zitat Gardner PA, Kassam AB, Thomas A et al (2008) Endoscopic endonasal resection of anterior cranial base meningiomas. Neurosurgery. 63(1):36–52PubMedCrossRef Gardner PA, Kassam AB, Thomas A et al (2008) Endoscopic endonasal resection of anterior cranial base meningiomas. Neurosurgery. 63(1):36–52PubMedCrossRef
6.
Zurück zum Zitat Van Gompel JJ, Frank G, Pasquini E et al (2011) Expanded endonasal endoscopic resection of anterior fossa meningiomas: report of 13 cases and meta-analysis of the literature. Neurosurg Focus 30(5):E15PubMedCrossRef Van Gompel JJ, Frank G, Pasquini E et al (2011) Expanded endonasal endoscopic resection of anterior fossa meningiomas: report of 13 cases and meta-analysis of the literature. Neurosurg Focus 30(5):E15PubMedCrossRef
7.
Zurück zum Zitat de Divitiis E, Esposito F, Cappabianca P, Cavallo LM, de Divitiis O, Esposito I (2008) Endoscopic transnasal resection of anterior cranial fossa meningiomas. Neurosurg Focus 25(6):E8PubMedCrossRef de Divitiis E, Esposito F, Cappabianca P, Cavallo LM, de Divitiis O, Esposito I (2008) Endoscopic transnasal resection of anterior cranial fossa meningiomas. Neurosurg Focus 25(6):E8PubMedCrossRef
8.
Zurück zum Zitat Dehdashti AR, Ganna A, Witterick I et al (2009) Expanded endoscopic endonasal approach for anterior cranial base and suprasellar lesions: indications and limitations. Neurosurgery 64(4):677–687PubMedCrossRef Dehdashti AR, Ganna A, Witterick I et al (2009) Expanded endoscopic endonasal approach for anterior cranial base and suprasellar lesions: indications and limitations. Neurosurgery 64(4):677–687PubMedCrossRef
9.
Zurück zum Zitat Komotar RJ, Starke RM, Raper DM, Anand VK, Schwartz TH (2012) Endoscopic endonasal versus open transcranial resection of anterior midline skull base meningiomas. World Neurosurg 77(5-6):713–724PubMedCrossRef Komotar RJ, Starke RM, Raper DM, Anand VK, Schwartz TH (2012) Endoscopic endonasal versus open transcranial resection of anterior midline skull base meningiomas. World Neurosurg 77(5-6):713–724PubMedCrossRef
10.
Zurück zum Zitat Shetty SR, Ruiz-Treviño AS, Omay SB et al (2017) Limitations of the endonasal endoscopic approach in treating olfactory groove meningiomas. A systematic review. Acta Neurochir 159(10):1875–1885PubMedCrossRef Shetty SR, Ruiz-Treviño AS, Omay SB et al (2017) Limitations of the endonasal endoscopic approach in treating olfactory groove meningiomas. A systematic review. Acta Neurochir 159(10):1875–1885PubMedCrossRef
11.
Zurück zum Zitat de Almeida JR (2015) Carvalho F, Vaz Guimaraes Filho F, et al. Comparison of endoscopic endonasal and bifrontal craniotomy approaches for olfactory groove meningiomas: a matched pair analysis of outcomes and frontal lobe changes on MRI. J Clin Neurosci 22(11):1733–1741PubMedCrossRef de Almeida JR (2015) Carvalho F, Vaz Guimaraes Filho F, et al. Comparison of endoscopic endonasal and bifrontal craniotomy approaches for olfactory groove meningiomas: a matched pair analysis of outcomes and frontal lobe changes on MRI. J Clin Neurosci 22(11):1733–1741PubMedCrossRef
12.
Zurück zum Zitat Banu MA, Mehta A, Ottenhausen M et al (2016) Endoscope-assisted endonasal versus supraorbital keyhole resection of olfactory groove meningiomas: comparison and combination of 2 minimally invasive approaches. J Neurosurg 124(3):605–620PubMedCrossRef Banu MA, Mehta A, Ottenhausen M et al (2016) Endoscope-assisted endonasal versus supraorbital keyhole resection of olfactory groove meningiomas: comparison and combination of 2 minimally invasive approaches. J Neurosurg 124(3):605–620PubMedCrossRef
13.
Zurück zum Zitat Liu JK, Silva NA, Sevak IA, Eloy JA (2018) Transbasal versus endoscopic endonasal versus combined approaches for olfactory groove meningiomas: importance of approach selection. Neurosurg Focus 44(4):E8PubMedCrossRef Liu JK, Silva NA, Sevak IA, Eloy JA (2018) Transbasal versus endoscopic endonasal versus combined approaches for olfactory groove meningiomas: importance of approach selection. Neurosurg Focus 44(4):E8PubMedCrossRef
14.
Zurück zum Zitat Muskens IS, Briceno V, Ouwehand TL et al (2018) The endoscopic endonasal approach is not superior to the microscopic transcranial approach for anterior skull base meningiomas—a meta-analysis. Acta Neurochir 160(1):59–75PubMedCrossRef Muskens IS, Briceno V, Ouwehand TL et al (2018) The endoscopic endonasal approach is not superior to the microscopic transcranial approach for anterior skull base meningiomas—a meta-analysis. Acta Neurochir 160(1):59–75PubMedCrossRef
15.
Zurück zum Zitat Mansouri A, Klironomos G, Taslimi S, Kilian A, Gentili F, Khan OH, Aldape K, Zadeh G (2016) Surgically resected skull base meningiomas demonstrate a divergent postoperative recurrence pattern compared with non-skull base meningiomas. J Neurosurg 125(2):431–440PubMedCrossRef Mansouri A, Klironomos G, Taslimi S, Kilian A, Gentili F, Khan OH, Aldape K, Zadeh G (2016) Surgically resected skull base meningiomas demonstrate a divergent postoperative recurrence pattern compared with non-skull base meningiomas. J Neurosurg 125(2):431–440PubMedCrossRef
16.
Zurück zum Zitat Koutourousiou M et al (2012) Endoscopic endonasal approach for resection of cranial base chordomas: outcomes and learning curve. Neurosurgery. 71(3):614–625PubMedCrossRef Koutourousiou M et al (2012) Endoscopic endonasal approach for resection of cranial base chordomas: outcomes and learning curve. Neurosurgery. 71(3):614–625PubMedCrossRef
17.
Zurück zum Zitat Liu JK et al (2012) Surgical nuances for nasoseptal flap reconstruction of cranial base defects with high-flow cerebrospinal fluid leaks after endoscopic skull base surgery. Neurosurg Focus 32(6):E7PubMedCrossRef Liu JK et al (2012) Surgical nuances for nasoseptal flap reconstruction of cranial base defects with high-flow cerebrospinal fluid leaks after endoscopic skull base surgery. Neurosurg Focus 32(6):E7PubMedCrossRef
Metadaten
Titel
Endoscopic endonasal versus transcranial approach to resection of olfactory groove meningiomas: a systematic review
verfasst von
Aarti Purohit
Roshani Jha
Adham M. Khalafallah
Carrie Price
Nicholas R. Rowan
Debraj Mukherjee
Publikationsdatum
10.11.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Neurosurgical Review / Ausgabe 6/2020
Print ISSN: 0344-5607
Elektronische ISSN: 1437-2320
DOI
https://doi.org/10.1007/s10143-019-01193-2

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