ICAR: endoscopic skull-base surgery

Wang EW, Zanation AM, Gardner PA, Schwartz TH, Eloy JA, Adappa ND, Bettag M, Bleier BS, Cappabianca P, Carrau RL, Casiano RR, Cavallo LM, Ebert CS, El-Sayed IH, Evans JJ, Fernandez-Miranda JC, Folbe AJ, Froelich S, Gentili F, Harvey RJ, Hwang PH, Jane JA, Kelly DF, Kennedy D, Knosp E, Lal D, Lee JYK, Liu JK, Lund VJ, Palmer JN, Prevedello DM, Schlosser RJ, Sindwani R, Solares CA, Tabaee A, Teo C, Thirumala PD, Thorp BD, Silva Vellutini EDA, Witterick I, Woodworth BA, Wormald PJ, Yang A, Snyderman CH, Banks C, De Oliveira MF, Di Somma A, Elsawy A, Ferguson MS, Garcia HG, Hariharan P, Hoshide R, Kuan EC, Labidi M, Lavigne P, Mehlitz M, Mehta GU, Micko A, Mueller SK, Mukherjee D, Orgain CA, Overdevest JB, Palejwala SK, Revuelta Barbero JM, Reyes CA, Rowan NR, Roxbury CR, Sahu N, Sfeir F, Shin D, Solari D, Soneru C, Strohl MP, Svider PF, Valentine R, Van Koevering K (2019)

Publication Type: Journal article

Publication year: 2019

Journal

Book Volume: 9

Pages Range: S145-S365

DOI: 10.1002/alr.22326

Abstract

Background Endoscopic skull-base surgery (ESBS) is employed in the management of diverse skull-base pathologies. Paralleling the increased utilization of ESBS, the literature in this field has expanded rapidly. However, the rarity of these diseases, the inherent challenges of surgical studies, and the continued learning curve in ESBS have resulted in significant variability in the quality of the literature. To consolidate and critically appraise the available literature, experts in skull-base surgery have produced the International Consensus Statement on Endoscopic Skull-Base Surgery (ICAR:ESBS). Methods Using previously described methodology, topics spanning the breadth of ESBS were identified and assigned a literature review, evidence-based review or evidence-based review with recommendations format. Subsequently, each topic was written and then reviewed by skull-base surgeons in both neurosurgery and otolaryngology. Following this iterative review process, the ICAR:ESBS document was synthesized and reviewed by all authors for consensus. Results The ICAR:ESBS document addresses the role of ESBS in primary cerebrospinal fluid (CSF) rhinorrhea, intradural tumors, benign skull-base and orbital pathology, sinonasal malignancies, and clival lesions. Additionally, specific challenges in ESBS including endoscopic reconstruction and complication management were evaluated. Conclusion A critical review of the literature in ESBS demonstrates at least the equivalency of ESBS with alternative approaches in pathologies such as CSF rhinorrhea and pituitary adenoma as well as improved reconstructive techniques in reducing CSF leaks. Evidence-based recommendations are limited in other pathologies and these significant knowledge gaps call upon the skull-base community to embrace these opportunities and collaboratively address these shortcomings.

Authors with CRIS profile

Involved external institutions

Krankenhaus der Barmherzigen Brüder Austria (AT) University of Pennsylvania United States (USA) (US) University of Michigan United States (USA) (US) University of North Carolina at Chapel Hill United States (USA) (US) Università degli Studi di Napoli Federico II Italy (IT) University of Pittsburgh United States (USA) (US) Ohio State University United States (USA) (US) Harvard University United States (USA) (US) The State University of New Jersey (Rutgers) United States (USA) (US) University of California San Francisco (UCSF) United States (USA) (US) Stanford University United States (USA) (US) University of Toronto Canada (CA) University College London (UCL) United Kingdom (GB) University of Alabama at Birmingham (UAB) United States (USA) (US) Medizinische Universität Wien Austria (AT) Hôpitaux Universitaires Saint-Louis, Lariboisière, Fernand-Widal France (FR) Weill Cornell Medicine United States (USA) (US) University of Miami United States (USA) (US) Université de Montréal Canada (CA) University of New South Wales (UNSW) Australia (AU) Cleveland Clinic United States (USA) (US) Augusta University United States (USA) (US) Pacific Neuroscience Institute (PNI) United States (USA) (US) Johns Hopkins University (JHU) United States (USA) (US) University of Texas MD Anderson Cancer Center United States (USA) (US) University of Adelaide Australia (AU) Thomas Jefferson University United States (USA) (US) Michigan Sinus and Skull Base Institute United States (USA) (US) University College London Hospitals (UCLH) United Kingdom (GB) University of São Paulo / Universidade de São Paulo (USP) Brazil (BR) Emory University United States (USA) (US) Prince of Wales Hospital (POWH) Australia (AU) University of California Irvine United States (USA) (US) University of Nebraska-Lincoln United States (USA) (US) University of Virginia (UVA) United States (USA) (US) Mayo Clinic United States (USA) (US) Medical University of South Carolina (MUSC) United States (USA) (US) Cornell University United States (USA) (US)

How to cite

APA:

Wang, E.W., Zanation, A.M., Gardner, P.A., Schwartz, T.H., Eloy, J.A., Adappa, N.D.,... Van Koevering, K. (2019). ICAR: endoscopic skull-base surgery. International Forum of Allergy and Rhinology, 9, S145-S365. https://dx.doi.org/10.1002/alr.22326

MLA:

Wang, Eric W., et al. "ICAR: endoscopic skull-base surgery." International Forum of Allergy and Rhinology 9 (2019): S145-S365.

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