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<p>The advent of endoscopic endonasal tumor surgery has revolutionized neurosurgical techniques, allowing for minimally invasive approaches to intricate skull base tumors. This review consolidates the progress, obstacles, and clinical results in contemporary endoscopic endonasal tumor surgery. The review starts with a historical perspective on the evolution from microsurgery to endoscopic methods, examining present indications and contraindications while emphasizing tumor classifications, anatomical factors, and risk elements that influence surgical eligibility. The technical elements are analyzed through preoperative planning, imaging, instrumentation, and comprehensive procedural steps, incorporating cutting-edge reconstruction methods to address postoperative defects. Recent developments in endoscopic vision, including optical endoscopy techniques and intraoperative imaging, have significantly improved visualization and navigation, leading to greater precision. Clinical outcomes are evaluated based on visual, neurological, and endocrinological recovery, along with the rates of complications. Common risks such as cerebrospinal fluid leaks, cranial nerve damage, and pituitary dysfunction are examined with an emphasis on strategies for effective risk management. The focus on postoperative care, quality of life, and recurrence management highlights the critical role of long-term follow-up in attaining the best possible outcomes for patients. This review acknowledges the constraints in anatomical understanding, technological capabilities, and the proficiency of surgical professionals. It emphasizes the insights gained and explores future possibilities, including broadening treatment criteria and minimizing complications through innovations in technology. This review concludes with an evaluation of significant accomplishments and upcoming challenges, highlighting the impact of endoscopic endonasal techniques on neurosurgical practice, representing a crucial transition towards safer and more efficient minimally invasive tumor surgery.</p>

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Advances and Challenges in Endoscopic Endonasal Tumor Surgery: Lessons Learned from Modern Practice

  • 期刊论文

  • 发表日期：

    2025年8月7日

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  • Poorya Gholami,
  • Kiana Rezvanfar,
  • Shahrzad Valizadehashenaabad,
  • Elham Esmaeili,
  • Fatemeh Rafizadeh,
  • Armin Aminiyan,
  • Masoud Saadat Fakhr

摘要

The advent of endoscopic endonasal tumor surgery has revolutionized neurosurgical techniques, allowing for minimally invasive approaches to intricate skull base tumors. This review consolidates the progress, obstacles, and clinical results in contemporary endoscopic endonasal tumor surgery. The review starts with a historical perspective on the evolution from microsurgery to endoscopic methods, examining present indications and contraindications while emphasizing tumor classifications, anatomical factors, and risk elements that influence surgical eligibility. The technical elements are analyzed through preoperative planning, imaging, instrumentation, and comprehensive procedural steps, incorporating cutting-edge reconstruction methods to address postoperative defects. Recent developments in endoscopic vision, including optical endoscopy techniques and intraoperative imaging, have significantly improved visualization and navigation, leading to greater precision. Clinical outcomes are evaluated based on visual, neurological, and endocrinological recovery, along with the rates of complications. Common risks such as cerebrospinal fluid leaks, cranial nerve damage, and pituitary dysfunction are examined with an emphasis on strategies for effective risk management. The focus on postoperative care, quality of life, and recurrence management highlights the critical role of long-term follow-up in attaining the best possible outcomes for patients. This review acknowledges the constraints in anatomical understanding, technological capabilities, and the proficiency of surgical professionals. It emphasizes the insights gained and explores future possibilities, including broadening treatment criteria and minimizing complications through innovations in technology. This review concludes with an evaluation of significant accomplishments and upcoming challenges, highlighting the impact of endoscopic endonasal techniques on neurosurgical practice, representing a crucial transition towards safer and more efficient minimally invasive tumor surgery.