I. Background of nasal endoscopic skull base surgery Nasal endoscopic surgery in the field of otorhinolaryngology-head and neck surgery has been applied to endoscopic surgical treatment of skull base diseases, which is the most important progress of nasal endoscopic surgery today.
Because of the complex anatomical structure and individual differences of skull base surgery, it used to be a forbidden area and has been gradually developed in the last decade or so, but there are not many hospitals in China that carry out endoscopic skull base surgery and not many doctors who can perform endoscopic skull base surgery, and most hospitals or doctors are unable to perform endoscopic skull base surgery for such patients. Therefore, a large number of patients in the country cannot get effective surgical treatment, but receive radiotherapy or chemotherapy, and most of the results are not satisfactory.
The advantages of nasal endoscopic skull base surgery: Compared with traditional craniotomy and microscopic surgery, it has significant advantages ① Rapid access to the surgical area; ② Good field of view, which helps reveal deep anatomical structures and improve the precision and safety of surgery; ③ It can reduce the strain on brain tissue; ④ Shorten the operation time; ⑤ Reflect the characteristics of minimally invasive surgery; ⑥ Nasal endoscopic pituitary adenoma resection is a simple, safe and valuable surgical technique (7) nasal endoscopic surgery can safely and effectively remove various benign and malignant tumors from the anterior skull base; (8) endoscopic resection of malignant tumors of the sinuses is a safe and effective method; (9) nasal endoscopic skull base surgery has few complications.
The scope of nasal endoscopic skull base surgery is wide, from frontal sinus and corpus cavernosum to the second cervical vertebra, including anterior skull base, pterygopalatine fossa, infratemporal fossa, saddle area, cavernous sinus, slope, rock tip, jugular foramen.
With the improvement of living standard and medical level, the people refuse to open the skull and accept the endoscopic minimally invasive surgery. Patients who were previously inoperable can save their lives through endoscopic surgery.
VI. The Department of Otolaryngology-Head and Neck Surgery of the hospital carries out endoscopic skull base surgery extensively and has been funded by the hospital for a number of projects. In particular, more than 30 cases of optic nerve canal decompression have been completed in the past year, and the patients were satisfied after the surgery.
Nasal endoscopic skull base surgery is the key point of construction and development direction of the hospital department More importantly, it can save most patients’ lives.