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World Journal of Pharmaceutical
and Medical Research

An International Peer Reviewed Journal for Pharmaceutical and Medical Research and Technology
An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)
ISSN 2455-3301
IMPACT FACTOR: 4.103

ICV : 56.51

Abstract

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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