Multiportal Approaches to the Skull Base
2nd International Hands-On Course
In the past years endoscopic endonasal techniques have undergone significant advances. Indeed, it is now possible to say that the nose and paranasal sinuses have changed from just a potential site of various diseases to a natural surgical corridor toward hidden and deeper anatomical structures. Furthermore, the ability to resect and reconstruct skull base defects has dramatically improved, thus making endoscopic techniques a valuable tool for skull base surgeons. Given the ever expanding surgical possibilities, a continuous improvement of anatomical knowledge is mandatory. Notwithstanding, some there are still limitations to transnasal approach. Limiting our vision to transnasal route reduce significantly our ability to deal with the virtually endless scenario of skull base diseases. Transoral and transorbital approaches are extremely versatile routes that can be integrated with transnasal one giving rise to what can be called “multiportal skull base surgery”. Surgical anatomy for transoral and transorbital procedures are less familiar to skull base surgeons.
For this reason, we have designed a course specifically dedicated to advanced anatomy around the skull base, including not only the endonasal perspective but also the transorbital and transoral ones. The “traditional” endoscopic approach to the ventral skull base (transcribriform, transsphenoidal and transclival windows) will be integrated with recent advancements in transorbital and transoral anatomy and approaches. Our goal is to produce an holistic vision of the different surgical windows made possible using the nasal, orbital and oral corridors. Anatomical and radiological lectures, intensive anatomical dissection under strict supervision and clinical cases discussion represent the key points of this advanced yet practical course. A movie-guided dissection perfectly represents our didactic philosophy based on a “step-by-step” approach. The face-to-face relationship between the faculty and participants makes this course an important starting point for all specialists who want to explore the fascinating field of endoscopic skull base surgery. The new anatomic training centre offers an ideal site for this experience. While the task may be challenging, it is extremely exciting. We hope that participants will help us to reach our goal.
P. Castelnuovo , I. Dallan, M. Tschabitscher