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- W2572302605 abstract "Objective: Endoscopic endonasal surgery (EES) has been recently introduced in the treatment of skull base meningiomas. Study Design: Retrospective review. Methods: Retrospective outcome review of 50 patients with OGM that underwent EES. Results: Clinical presentation included altered mental status (36%), visual loss (30%), and headache (24%). Maximum tumor diameter varied between 12 and 80 mm (mean: 41.6 mm). All patients underwent EES, staged in 18. Complete tumor resection (Simpson grade I) was achieved in 66.7% of the 45 patients in whom it was the goal. Tumor size, calcification, and absent cortical cuff were significant factors affecting the degree of resection (p = 0.002, 0.024, and 0.028, respectively). Following EES, mental status was improved or normalized in 77.8% of the cases, vision in 86.7%, and headaches in 83.3%. There was no postoperative deterioration of the presenting symptoms. Complications included CSF leak higher in tumors > 40 mm (30%), PE/DVT (20%), sinus infection (10%), and abscess (6%). One patient had an intraoperative vascular injury resulting in transient hemiparesis (2%). There were no perioperative deaths. During a mean follow-up of 32 months (range 1-115), one patient underwent repeat EES for tumor regrowth. Conclusions: EES is an effective and safe approach for sizable OGM with good clinical outcomes. Postoperative cerebrospinal fluid leak remains a problem that necessitates innovations in EES reconstruction techniques." @default.
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- W2572302605 date "2014-06-17" @default.
- W2572302605 modified "2023-10-18" @default.
- W2572302605 title "Endoscopic Endonasal Surgery for Olfactory Groove Meningiomas: Experience with 50 Cases" @default.
- W2572302605 doi "https://doi.org/10.1055/s-0034-1383987" @default.
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