Preoperative Considerations • Chordomas are locally aggressive neoplasms that arise from embryonic remnants of the notochord along the vertebral axis. They represent less than 1% of all intracranial neoplasms. They…

Indications and Preoperative Considerations • Postoperative CSF leak is one of the most important complications secondary to endoscopic skull base surgery. • Skull base reconstruction techniques have been instrumental for…

Introduction • Transconjunctival and endonasal approaches provide direct access to the anterior skull base and can be employed in the surgical treatment of various pathologies. • The combined transconjunctival and…

Indications • The major advantages of this approach include broad exposure to the anterior cranial base with minimal brain retraction. • The approach can facilitate the access to the anterior…

Preoperative Considerations • Craniopharyngiomas are tumors with solid-cystic components that originate from embryological remnants of the Rathke’s pouch. They represent 1–3% of lifetime intracranial tumors and up to 5–10% occurring…

• There are many surgical variants of the endoscopic endonasal approach (EEA), which can be used for management of lesions at the ventral skull base. • The main goal of…

Introduction The supraorbital approach gives access to several areas of the anterior and middle cranial fossa, sellar and parasellar region. It is a minimally invasive alternative to larger approaches such…

Preoperative Considerations • The standard retrosigmoid approach allows for expeditious access to the posterior fossa, specifically to the cerebellopontine angle (CPA). • The extended retrosigmoid approach includes the skeletonization of…

Preoperative Considerations • The far lateral provides wide access to the dorsolateral compartment yet allowing exposure to the lateral aspect of the ventromedial compartment of the posterior fossa (270° visualization…

There are a variety of different techniques that can be used to surgically manage anterior skull base lesions. In this chapter we demonstrate the value of the standard and extended…