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Year : 2001  |  Volume : 49  |  Issue : 3  |  Page : 253--61

Extended frontobasal approach to the skull base.

D Banerji, S Behari, I Tyagi, T Pandey, VK Jain, DK Chhabra 
 Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow-226 014, India., India

Correspondence Address:
D Banerji
Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow-226 014, India.
India

The extended frontobasal approach provides an adequate midline exposure from the anterior cranial fossa to the sphenoclival region. Between November 1991 and August 1999, 13 patients with extensive anterior and anterolateral skull base tumours extending to supra and parasellar regions, cavernous sinus and sphenoclival regions were operated upon using this approach alone (7 patients) or in combination with subtemporal -infratemporal (4 patients) or transfacial (2 patients) approaches. Gross total excision was performed in 8 patients while in 4 patients with malignant tumours and in a patient with extensive skull base fungal granuloma, only partial excision was possible. Basal repair was performed using pedicled pericranium, temporalis muscle or fascia lata. The complications included increase in the cranial nerve paresis, endophthalmitis, facial oedema, CSF leak, frontal haematoma and internal carotid artery injury. This study reviews the operative technique, the indications and the complications of extended frontobasal approach.


How to cite this article:
Banerji D, Behari S, Tyagi I, Pandey T, Jain V K, Chhabra D K. Extended frontobasal approach to the skull base. Neurol India 2001;49:253-61


How to cite this URL:
Banerji D, Behari S, Tyagi I, Pandey T, Jain V K, Chhabra D K. Extended frontobasal approach to the skull base. Neurol India [serial online] 2001 [cited 2020 Jan 22 ];49:253-61
Available from: http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2001;volume=49;issue=3;spage=253;epage=61;aulast=Banerji;type=0