Author/Editor		Ravnik, Janez; Lanišnik, Boštjan; Bunc, Gorazd; Čizmarevič, Bogdan
Title		Endoskopski endonazalni pristop do tumorjev lobanjske baze
Translated title		Endoscopic endonasal approach to skull-base tumors
Type		članek
Source		74267393
Publication year		2013
Volume		str. 129-134
Language		slv
Abstract		Izhodišča: Z razširjenim endoskopskim endonazalnim pristopom lahko preko nosu kirurško dostopamo do različnih patoloških procesov lobanjske baze. Namen prispevka je analizirati rezultate pri bolnikih, kjer smo ta pristop uporabili. Metode: Pristop smo pričeli uporabljati leta 2005, večino bolnikov pa smo s tem pristopom operirali od leta 2010 dalje. Operiranih je bilo 61 bolnikov, starih od 20 do 81 let. Zaradi posttravmatskih likvorej je bilo operiranih 20 bolnikov, 4 bolniki so imeli opravljeno dekompresijo optičnega živca, 37 bolnikov pa je bilo operiranih zaradi različnih tumorjev lobanjske baze. Rezultati: Večina bolnikov je po operaciji dobro okrevala. Beležili smo štiri zaplete: nazolikvorejo pri enem bolniku, poslabšanje vida pri enem bolniku, pooperativni intracerebralni hematom pri dveh bolnikih. Pri enem od teh dveh bolnikov je bila potrebna transkranialna revizija, ta bolnik je žal umrl. Zaključki: Pristop se je izkazal za dovolj varnega in uporabnega. Z njegovo uporabo bomo nadaljevali ter ga tudi sprotno izboljševali. Pričakujemo, da se bo s časom pa še povečalo število indikacij za tak pristop, pogostost zapletov pa se bo še znižala.Background: Using the expanded endonasal approach many different pathological processes of the skull base can be reached endonasaly. The aim of this report was to analyze the result in patients who were operated using the approach. Methods: We started using the approach in the year 2005. Most surgeries were performed after the year 2010. We operated 61 patients who were 20 to 81 years old. Surgery was performed for 20 patients with posttraumatic CSF leaks, 4 patients had optic nerve decompression and 37 patients were operated for various skull-base tumors. Results: Most patients experienced good recovery. We encountered 4 complications: nasal CSF leak in one patient, worsening of vision in one patient and postoperative intracerebral hematoma in two patients. In one of those patients, transcranial revision was needed, but the patient unfortunately died. Conclusions: The approach proved to be safe and useful enough. We will continue using and improving it further. We expect that with time, the number of indications for this approach will increase and the rate of complications will decrease.
Keywords		lobanjska baza tumorji kirurgija endoskop