Suchergebnisse

Abstract: The authors will present a case report of a woman that presented a giant sphenoidal tumor with endocranially extension and compression of the cerebral trunk. The patient was already presented in a neurosurgical service where due to the tumor volume, the high-risk surgical elements involved was sent to our ENT department to try to perform an endoscopic biopsy. Using the endoscopic optical and mechanical ensemble the authors performed trans nasally a biopsy. The histopathologic result was a surprise and was confirmed with three different immune-histochemistry exams.

The evolution of the endoscopic skull base surgery in the last ten years had led to the development of new surgical reconstructive techniques. In the endoscopic reconstructive surgery of the CSF leaks both synthesis and natural materials. The advancement of the endoscopic reconstructive surgery was closely linked with the production of new synthesis materials. The aim of the paper is to compare the efficacy of synthesis versus natural materials in the closure of CSF leaks and to point out certain rules of when and where to use a synthesis or natural material.