Ng, Kevin Boon Han and Goh, Chin Hwee and Teo, Ting Hee and Wong, Albert Sie Hieng and Lim, Swee Lan and Ngian, Donald San Liew and Tang, Ing Ping (2018) A review of clinical and surgical outcomes of endoscopic endonasal skull base surgery in a Tertiary Center in Sarawak. In: The Asian Research Symposium in Rhinology, 5-7 July 2018, Grand Hyatt, Bali, Indonesia.
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Abstract
Background: Endoscopic endonasal approach (EEA) for skull base tumor has been extensively developed in recent years. Objectives: To review the demographic data, indications, clinical presentations and surgical outcomes of endoscopic endonasal skull base surgeries performed. Methods: A retrospective analysis on all patients who had undergone endoscopic endonasal skull base surgery at the Skull Base Unit (ENT & Neurosurgery) from December 2013 to December 2015. Results: A total 34 cases were operated on during the study period. Female patients account for 44% of patients while 56% were male patients, with ages ranging from 8 to 77 years, with the mean age of 51.88 years. Majority of the cases were pituitary tumors (41%), followed by sinonasal tumors (15%), meningioma (12%), clival tumor (8%), cerebrospinal fluid (CSF) leak repair (8%) and frontal mucocoele (6%). Transsellar approach was the commonest approach (41%) followed by the transclival, transplanum, transfrontal approaches. In about 80% of cases, CSF leak was encountered intraoperatively and was successfully repaired endoscopically with the Hadad-Bassagasteguy flap and with the insertion of a lumbar drain. Only one case (3%) of CSF leak was noted postoperatively which was then successful repaired endoscopically with a nasoseptal flap. Systemic complications and intracranial infections were seen in 3 cases (8%) and were managed accordingly. No cases of epitaxis requiring surgical intervention were noted post operatively.
| Item Type: | Proceeding (Paper) |
|---|---|
| Uncontrolled Keywords: | endoscopic surgery, endonasal approach, skull base tumor, unimas, university, universiti, Borneo, Malaysia, Sarawak, Kuching, Samarahan, ipta, education, research, Universiti Malaysia Sarawak. |
| Subjects: | R Medicine > R Medicine (General) R Medicine > RF Otorhinolaryngology |
| Divisions: | Academic Faculties, Institutes and Centres > Faculty of Medicine and Health Sciences Faculties, Institutes, Centres > Faculty of Medicine and Health Sciences |
| Depositing User: | Gani |
| Date Deposited: | 31 Jan 2019 03:38 |
| Last Modified: | 02 May 2021 22:39 |
| URI: | http://ir.unimas.my/id/eprint/23297 |
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