Abstract
Background: Endoscopic transnasal skull base surgery had started long time
ago in different centers around the world for excision of skull base lesions
with good results and more cost effectiveness. The aim of this study is to discuss
our early results in endoscopic skull base surgery and the development of
the learning curve. Patients and Methods: We analyzed our experience regarding
25 patients presented to us in Neurosurgery Department, Assiut
University Hospital, Assiut University, Assiut, Egypt in a period of 3 years
(2015, 2016, 2017) and operated by endoscopic transnasal approach. All patients
signed an informed consent. Results: With the highest percentage was
pituitary adenoma 56%, pituitary apoplexy 12%, craniopharyngioma 12%,
CSF rhinorrhea 12%, Planum sphenoidal meningioma 4% and suprasellar
granuloma 4%. 88% of patients were operated without complications, 8%
mortality rate postoperative, 12% complication rate and 76% complete improvement
postoperative. Conclusion: Endoscopic skull base surgery is a safe
approach to the skull base that needs a good experience, practice and good
anatomical knowledge. Teamwork between a Neurosurgeon and ENT surgeon
is a must for patient safety.