Endoscopic Endonasal Approach for Olfactory Groove Meningiomas: Operative Technique and Nuances

James K Liu; Ellina Hattar; Jean Anderson Eloy

doi:10.1016/j.nec.2015.03.009

Endoscopic Endonasal Approach for Olfactory Groove Meningiomas: Operative Technique and Nuances

Neurosurg Clin N Am. 2015 Jul;26(3):377-88. doi: 10.1016/j.nec.2015.03.009.

Authors

James K Liu¹, Ellina Hattar², Jean Anderson Eloy³

Affiliations

¹ Department of Neurological Surgery, Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA; Department of Otolaryngology-Head and Neck Surgery, Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA. Electronic address: james.liu.md@rutgers.edu.
² Department of Neurological Surgery, Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA.
³ Department of Neurological Surgery, Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA; Department of Otolaryngology-Head and Neck Surgery, Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA.

PMID: 26141357
DOI: 10.1016/j.nec.2015.03.009

Abstract

Olfactory groove meningiomas represent approximately 10% of all intracranial meningiomas. Because these tumors originate at the ventral skull base, the endonasal route provides direct access to the tumor blood supply for early devascularization and removal of the underlying hyperostotic bone at the cranial base. In carefully selected patients, these tumors can be totally removed without additional brain retraction or manipulation. In this report, we describe the surgical technique and operative nuances for removal of olfactory groove meningiomas using the endoscopic endonasal approach, and also discuss the indications, limitations, complication avoidance and management, and postoperative care.

Keywords: Anterior skull base; Endoscopic endonasal approach; Endoscopic skull base surgery; Olfactory groove meningioma; Transcribriform.

Publication types

Review

MeSH terms

Humans
Meningeal Neoplasms / surgery*
Meningioma / surgery*
Natural Orifice Endoscopic Surgery / methods
Neuroendoscopy / methods*
Nose
Skull Base / surgery*