gms | German Medical Science

64th Annual Meeting of the German Society of Neurosurgery (DGNC)

German Society of Neurosurgery (DGNC)

26 - 29 May 2013, Düsseldorf

Multidisciplinary approach for skull base tumors with both intra and extra-cranial involvement

Meeting Abstract

  • Shengde Bao - Department of Neurosurgery, Peking University First Hospital
  • Zhiqiang Yi - Department of Neurosurgery, Peking University First Hospital
  • Liang Li - Department of Neurosurgery, Peking University First Hospital
  • Jiayong Zhang - Department of Neurosurgery, Peking University First Hospital
  • Shuifang Xiao - Department of ENT, Peking University First Hospital
  • Yong Qin - Department of ENT, Peking University First Hospital
  • Chuanbin Guo - Department of Maxillofacial Surgery, Peking University School of Stomatology
  • Jianguo Zhang - Department of Maxillofacial Surgery, Peking University School of Stomatology

Deutsche Gesellschaft für Neurochirurgie. 64. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC). Düsseldorf, 26.-29.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. DocMO.18.07

doi: 10.3205/13dgnc160, urn:nbn:de:0183-13dgnc1608

Published: May 21, 2013

© 2013 Bao et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

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Objective: To study the multidisciplinary approach for skull base tumors with both intra and extra-cranial involvement and to improve the surgical efficacy.

Method: 78 cases were analyzed retrospectively. The relation between surgical approach and the origin and extension of the tumor is analyzed. The main complication and avoidance is discussed.

Results: Tumor total removal was performed in 48 cases, subtotal in 25 and partial in 5. Operation-related complications occurred in 36 patients without death.

Conclusions: Multidisciplinary Approach benefits the surgical therapy for skull base tumor with both intra and extra-cranial involvement. The origin and extension of the tumor is important consideration in determining the surgical approach. The injury of blood vessel and cranial nerves, cerebral spinal fluid leakage and intracranial infection is the main operative complications. The complication avoiding and keep the balance between efficacy and risk are the main concern.