Midline Meningiomas of the Anterior Skull Base: Surgical Outcomes and a Decision-Making Algorithm for Classic Skull Base Approaches.

anterior skull base neurosurgical oncology olfactory groove meningioma operative technique planum sphenoidale meningioma transcranial approaches tuberculum sellae meningioma

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
03 Nov 2020
Historique:
received: 30 08 2020
revised: 29 10 2020
accepted: 31 10 2020
entrez: 6 11 2020
pubmed: 7 11 2020
medline: 7 11 2020
Statut: epublish

Résumé

(1) Background: Midline meningiomas such as olfactory groove (OGMs), planum sphenoidale (PSMs), or tuberculum sellae meningiomas (TSMs) are challenging, and determining the appropriate approach is important. We propose a decision algorithm for choosing suitable transcranial approaches. (2) Methods: A retrospective chart review between 06/2007 and 01/2020. Clinical outcomes, radiographic findings, and postoperative complication rates were analyzed with respect to operative approaches. (3) Results: We included 88 patients in the analysis. Of these, 18.2% (16/88) underwent an interhemispheric approach, 72.7% (64/88) underwent a pterional/frontolateral/supraorbital approach, 2.3% (2/88) underwent a unilateral subfrontal approach, and 6.8% (6/88) underwent a bifrontal approach. All OGMs underwent median approaches, along with one PSM. All of the other PSMs and TSMs were resected via lateral approaches. The preoperative tumor volume was ∅20.2 ± 27.1 cm

Identifiants

pubmed: 33153110
pii: cancers12113243
doi: 10.3390/cancers12113243
pmc: PMC7692292
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

Acta Neurochir (Wien). 2000;142(7):751-6; discussion 756-7
pubmed: 10955669
Neurosurgery. 2005 Apr;56(2 Suppl):418-24; discussion 418-24
pubmed: 15794839
Laryngoscope. 1999 Jan;109(1):153-60
pubmed: 9917058
Br J Neurosurg. 2009 Aug;23(4):422-30
pubmed: 19637015
World Neurosurg. 2016 Feb;86:270-86
pubmed: 26409085
Acta Neurochir (Wien). 2014 Apr;156(4):689-96
pubmed: 24402551
J Neurol Neurosurg Psychiatry. 2005 Jul;76(7):977-83
pubmed: 15965205
Br J Neurosurg. 2005 Feb;19(1):33-7
pubmed: 16147580
Neurosurgery. 2005 Oct;57(4 Suppl):268-80; discussion 268-80
pubmed: 16234674
J Neurosurg. 2014 Dec;121(6):1446-52
pubmed: 25259570
World Neurosurg. 2012 May-Jun;77(5-6):713-24
pubmed: 22120296
J Neurosurg. 2011 Oct;115(4):802-10
pubmed: 21740117
Neurosurgery. 1989 Dec;25(6):942-5; discussion 945-7
pubmed: 2601826
Neurosurgery. 2007 May;60(5):844-52; discussion 844-52
pubmed: 17460519
Neurosurgery. 1985 Mar;16(3):364-72
pubmed: 3982616
Oncology (Williston Park). 2005 Jun;19(7):913-9; discussion 920, 923-5, 929
pubmed: 16053038
Neurosurgery. 2006 Nov;59(5):1019-28; discussion 1028-9
pubmed: 17143236
World Neurosurg. 2011 Sep-Oct;76(3-4):311-7; discussion 255-8
pubmed: 21986430
J Clin Neurosci. 2001 May;8 Suppl 1:26-31
pubmed: 11386822
Neurol India. 2018 Jul-Aug;66(4):1081-1086
pubmed: 30038098
Neurochirurgia (Stuttg). 1971 Mar;14(2):63-70
pubmed: 5555315
World Neurosurg. 2019 Feb;122:e349-e357
pubmed: 30326308
Neurosurgery. 2002 Dec;51(6):1358-63; discussion 1363-4
pubmed: 12445340
Neurosurg Focus. 2018 Apr;44(4):E7
pubmed: 29606040
J Neurol Surg B Skull Base. 2018 Apr;79(Suppl 3):S265-S266
pubmed: 29588894
J Neurol Surg B Skull Base. 2013 Apr;74(2):97-102
pubmed: 24436895
World Neurosurg. 2016 Oct;94:211-221
pubmed: 27373938
Br J Neurosurg. 2015;29(5):685-92
pubmed: 26174632
J Neurosurg. 1995 Jun;82(6):1002-10
pubmed: 7760173
J Neurosurg. 2016 Mar;124(3):605-20
pubmed: 26274992
Neurosurgery. 2008 Jun;62(6 Suppl 3):1224-32
pubmed: 18695543
JAMA. 2013 Nov 27;310(20):2191-4
pubmed: 24141714
J Neurosurg. 1996 Jun;84(6):951-6
pubmed: 8847589
Neurosurgery. 2008 Jun;62(6 Suppl 3):1233-9
pubmed: 18695544
Neurosurgery. 2003 Sep;53(3):534-42; discussion 542-3
pubmed: 12943570
J Neurol Surg A Cent Eur Neurosurg. 2020 Jul;81(4):310-317
pubmed: 32361982
Br J Plast Surg. 2003 Jan;56(1):10-3
pubmed: 12706142
J Neurosurg. 1986 Feb;64(2):183-90
pubmed: 3944627
J Neurosurg. 1992 Feb;76(2):198-206
pubmed: 1730948
J Clin Neurosci. 2009 Sep;16(9):1168-73
pubmed: 19577476
Skull Base. 2008 Jan;18(1):29-47
pubmed: 18592024
J Craniofac Surg. 2014 Jul;25(4):1302-4
pubmed: 24902112
Neurosurg Rev. 2004 Oct;27(4):267-73
pubmed: 15071763
J Neurosurg. 2017 Jan;126(1):201-211
pubmed: 27058201
J Neurol Surg B Skull Base. 2018 Feb;79(2):S213-S214
pubmed: 29404256
J Neurosurg. 2012 Dec;117(6):1013-21
pubmed: 23061383
Acta Neurochir (Wien). 2007 Feb;149(2):109-21; discussion 121
pubmed: 17180303
Neurosurg Focus. 2018 Apr;44(4):E8
pubmed: 29606049

Auteurs

Amir Kaywan Aftahy (AK)

Department of Neurosurgery, Klinikum Rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Melanie Barz (M)

Department of Neurosurgery, Klinikum Rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Philipp Krauss (P)

Department of Neurosurgery, Klinikum Rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Arthur Wagner (A)

Department of Neurosurgery, Klinikum Rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Nicole Lange (N)

Department of Neurosurgery, Klinikum Rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Alaa Hijazi (A)

Department of Neurosurgery, Klinikum Rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Benedikt Wiestler (B)

Department of Neuroradiology, Klinikum Rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Bernhard Meyer (B)

Department of Neurosurgery, Klinikum Rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Chiara Negwer (C)

Department of Neurosurgery, Klinikum Rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Jens Gempt (J)

Department of Neurosurgery, Klinikum Rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Classifications MeSH