Endoscopic endonasal surgery includes the use of very small telescopes that are guided through the nose. Through this method our surgeons are able to resect tumors within the nasal cavity, skull base and brain. This approach prevents large facial scars, craniotomy and brain retraction. Damage to normal tissue around the tumor is significantly reduced allowing for a faster recovery time.
Endoscopic Endonasal Surgery is used to treat conditions such as:
|Pituitary tumor (adenoma)||Craniofacial fracture||Neurofibroma|
|Acromegaly||Craniofacial malformation||Neurolemmoma (vestibular schwannoma)|
|Acoustic neuroma||Craniopharyngioma||Neuroma, acoustic|
|Adenoma (pituitary tumor)||Cushing’s disease||Nosebleeds (chronic and refractory bleeding)|
|Aneurysm cerebral (brain)||Dermoid tumor||Olfactory neuroblastoma|
|Angiofibroma||Encephalocele||Optic nerve compression|
|Apoplexy, pituitary||Epidermoid tumor||Osteoma|
|Arteriovenous malformation (AVM)/ fistula||Fibrous displasia||Papilloma, inverting|
|Basilar invagination (chiari malformation)||Glomus tumor (paraganglioma)||Paraganglioma (glomus tumor)|
|Benign sinonasal disease (antrochoanal polyp, chronic sinusitis, deviated nasal septum, inverted papilloma, juvenile nasal angiofibroma (JNA), mucocele, nasal polyps, osteoma, etc)||Hemangioma||Periorbital abscess|
|Brain aneurysm (cerebral)||Hemangiopericytoma||Petrous apex cholesteatoma|
|Brain tumor||Invasive fungal sinusitis||Pituitary apoplexy|
|Cancer in the sinonasal area (adenocarcinoma, adenoid cystic carcinoma, chondrosarcoma, esthesioneuroblastoma, hemangiopericytoma, neurendocrine carcinoma, squamous cell carcinoma, sarcomas and other types of carcinomas)||Inverted papilloma||Prolactinoma|
|Carcinoma, squamous cell||Juvenile Nasal Angiofibroma (JNA)||Rathke`s cleft cyst|
|Cerebral (brain) aneurys||Malignant meningiom||Schwannoma|
|Cerebrospinal fluid||Meningioma||Sinus thrombosis|
|Cerebrospinal fluid leak (CSF leak)||Meningocele||Sinus tumor|
|Cholesteatoma/Cholesterol granuloma||Microadenoma||Sinusitis, invasive fungal|
|Chondrosarcoma||Mucocele||Squamous cell carcinoma|
|Clival chordoma||Neuroblastoma, olfactory||Vestibular schwannoma|
CT scan showing a tumor in the left nasal cavity.
A highly vascularized tumor in the left nasal cavity viewed with the endoscope
A view through the endoscope of the nasal cavity after the complete resection of a malignant sinonasal tumor. The roof of the nasal cavity and the membrane around the brain were removed to obtain tumor-free margins. The base of the anterior lobe of the brain is seen through the nasal cavity before the defect was reconstructed.
An anatomical dissection performed with the endoscope view to show the arteries and nerves behind the left maxillary sinus in the pterygopalatine fossa.
The surgical procedures are tailored to each patient. Preservation of important structures are optimized with our constant research at the anatomy laboratory.