ICAR: endoscopic skull-base surgery

Beitrag in einer Fachzeitschrift

Details zur Publikation

Autorinnen und Autoren: 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
Zeitschrift: International Forum of Allergy and Rhinology
Jahr der Veröffentlichung: 2019
Band: 9
Seitenbereich: S145-S365
ISSN: 2042-6976
eISSN: 2042-6984


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.

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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

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


Zuletzt aktualisiert 2019-12-08 um 16:23