Combined endoscopic and microsurgical treatment of complex skull base tumors

SGGP 11/21/2023 06:17

On November 20, Ho Chi Minh City University of Medicine and Pharmacy Hospital announced that it had successfully performed surgery on patient D.T.D. (57 years old, residing in Khanh Hoa province) with a pituitary tumor invading the middle skull base, bilateral cavernous sinuses, and posterior cranial fossa.

The patient had surgery in early 2020, but recently the tumor progressed, invading more into the posterior cranial fossa, cavernous sinus and bilateral temporal fossa, and lower cranial nerves, causing symptoms of headache, dizziness, and tinnitus.

The patient was indicated for endoscopic and microsurgery to remove the entire lesion and reconstruct the skull base invaded by the tumor. After the 4-hour surgery, the patient was stable, alert, headache symptoms were significantly reduced, there was no cranial nerve damage, and no cerebrospinal fluid leakage through the nose after surgery.

It is expected that the patient will be discharged early, 7-10 days after surgery. This technique helps doctors optimize the viewing angle, approach the lesion from many directions to remove the maximum amount of damage, while increasing the patient's safety. The incision is small, has little effect on the patient's nerves and movement, can remove all damaged tissue, and causes little damage to healthy tissue...

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