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Research Letter
Association of VA Surgeons
December 2016

Outcomes of Patients Undergoing Endoscopic Endonasal Skull Base Surgery at a VA Hospital

Author Affiliations
  • 1Department of Neurological Surgery, Loyola University, Maywood, Illinois
  • 2Department of Otolaryngology, Loyola University, Maywood, Illinois
  • 3Department of Otolaryngology–Head & Neck Surgery, Northwestern University, Feinberg School of Medicine, Chicago, Illinois
JAMA Surg. 2016;151(12):1186-1187. doi:10.1001/jamasurg.2016.2916

Traditionally, sellar skull base pathology has been accessed using sublabial or transseptal transsphenoidal approaches with the assistance of an operating microscope.1 However, recently an endoscopic endonasal technique has become more popular.2 This technique provides a corridor of access that extends sagittally from the frontal sinus to the base of the odontoid. For pathology with significant suprasellar extension or lateral invasion of the cavernous sinus, this newer option may be associated with increased visualization, extent of resection, improved visual outcomes, and decreased length of hospital stay when compared with conventional approaches.3,4 Our study sought to determine if outcomes of veterans undergoing this procedure in the VA system rival those in other published studies.