Principles of Endoscopic Microsurgery
Last Updated: September 30, 2018
Any endoscopic endonasal skull base procedure can be divided into the same three phases that are described for traditional “open” skull base operations: 1) approach (exposure), 2) definitive procedure (resection), and reconstruction (closure). Our rhinology colleagues primarily undertake the first and last phases of the operation and drive the endoscope during the resection phase. Importantly, this team approach and mutual learning advances the care of our patients.
Each of these phases requires a different set of goals and objectives, as well as techniques. In this chapter, I will discuss the basic tenets of surgical technique and equipment for each phase of binasal bimanual endoscopic skull base procedures. More specific details may be found in the other chapters in this volume. Our sta...