World Neurosurg
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To describe the decision-making and the surgical strategy in the resection of anterior skullbase meningiomas. ⋯ For most skull base meningiomas, I usually prefer the endoscope-assisted microsurgical transcranial approach which combines the advantages of the operating microscope with the advantages of the endoscope. The endonasal approach is beneficial for small tumors located below or behind the chiasm.
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The endonasal route often provides the most direct and safe approach to skull base pathology. In this article we review the literature with regard to management of the paranasal sinuses in the setting of skull base surgery. ⋯ Careful management of the paranasal sinuses throughout the peri-operative course is paramount to optimizing sinonasal function and safety.