gms | German Medical Science

Objective: Endoscopic sinus surgery is good procedure and even better in addition to navigation and video enhancement. The option of reliability and rare complications should be evaluated for clivus and sella surgery.

Material and methods: 11 patients with different pathologies of sella or clivus where operated with endoscopic approach. Evaluation include sufficient resection related to leakage of CSF, anosmia and sinusmorbidity and re-operation.

Results: Sufficient approach for tissue could be reached in all cases. No complications with bleeding or meningitis occurred. One leakage of CSF should be treated by endoscopic obliteration. After radiotherapy sinus surgery was needed once. No anosmia was detected.

Once we should remove dislocated durapatch. Over all 82% were sufficiently treated one step. No negatives of endoscopic approach were mentioned after 3 month endoscopy.

Summery: Using endoscopic sinussurgery to reach sella or clivus is advantage for patients. Short time discomfort, less trauma and missing scars are major objectives in comparison with transseptal or subfrontal approach.