THE TRANSBASAL DEROME APPROACH TO ANTERIOR SKULL BASE: REFLECTIONS OF THE PAST AND IMPLICATIONS FOR THE FUTURE
Dr. Jaspreet Singh Badwal*
ABSTRACT
The tumours of anterior skull base may involve the paranasal sinuses, orbit and clivus. Surgical management of such pathology is often difficult and requires the transbasal or Derome approach to anterior skull base. The indications for this surgery are very broad and include tumours, traumatic lesions, CSF (cerebrospinal fluid) fistulas, congenital abnormalities and some vascular lesions. Lesions extending lateral to the internal carotid artery, cavernous sinus, petroclival region and posterior inferior portion of the clivus can be removed by a combined approach in the same or a second operative procedure.
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