The Current State of Visualization Techniques in Endoscopic Skull Base Surgery
- PMID: 36291271
- PMCID: PMC9599272
- DOI: 10.3390/brainsci12101337
The Current State of Visualization Techniques in Endoscopic Skull Base Surgery
Abstract
Skull base surgery has undergone significant progress following key technological developments. From early candle-lit devices to the modern endoscope, refinements in visualization techniques have made endoscopic skull base surgery (ESBS) a standard practice for treating a variety of conditions. The endoscope has also been integrated with other technologies to enhance visualization, including fluorescence agents, intraoperative neuronavigation with augmented reality, and the exoscope. Endoscopic approaches have allowed neurosurgeons to reevaluate skull base neuroanatomy from new perspectives. These advances now serve as the foundation for future developments in ESBS. In this narrative review, we discuss the history and development of ESBS, current visualization techniques, and future innovations.
Keywords: neuro-oncology; neuroendoscopy; neuronavigation; skull base surgery; ultrasonography.
Conflict of interest statement
V.R.K.—consultant for Stryker Corporation. P.F.R.—consultant for Stryker Corporation.
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References
-
- Goshtasbi K., Lehrich B.M., Abouzari M., Abiri A., Birkenbeuel J., Lan M.-Y., Wang W.-H., Cadena G., Hsu F.P.K., Kuan E.C. Endoscopic versus Nonendoscopic Surgery for Resection of Pituitary Adenomas: A National Database Study. J. Neurosurg. 2021;134:816–824. doi: 10.3171/2020.1.JNS193062. - DOI - PMC - PubMed
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