• Charles A Riley, Christian P Soneru, Abtin Tabaee, Ashutosh Kacker, Vijay K Anand, and Theodore H Schwartz.
• Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medical College, New York, New York, USA.
• World Neurosurg. 2019 Apr 1; 124: 513521513-521.

BackgroundEndoscopic skull base surgery has evolved over the last several decades due to technological advances and operative techniques. Several innovations that are not yet mainstream may have significant impact on the future of endoscopic skull base surgery.MethodsCurrent literature pertaining to innovations in endoscopic skull base surgery was retrieved using PubMed, Embase, Web of Science, and Google Scholar.ResultsSeveral recent innovations may play an influential role in the advancement of endoscopic skull base surgery, including fluorescent dyes such as indocyanine green fluorescence, fluorescein, and 5-aminolevulinic acid, 3-dimensional endoscopes, robotic surgery, and intraoperative magnetic resonance imaging.ConclusionsSeveral technologies are under current investigation with the hope to improve future outcomes in endoscopic skull base surgery. Additional research and evolution are necessary and will require intense scrutiny before becoming standard of care.Copyright © 2019 Elsevier Inc. All rights reserved.

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