Endoscopic Endonasal Transphenoidal Surgery Using the BrainLAB® Headband for Navigation Without Rigid Fixation

Sara G. Duque; Ramana Gorrepati; Kartik Kesavabhotla; Clark Huang; John A. Boockvar

doi:10.1055/s-0032-1331383

Journal of Neurological Surgery Part A: Central European Neurosurgery, Inhaltsverzeichnis

J Neurol Surg A Cent Eur Neurosurg 2014; 75(04): 267-269
DOI: 10.1055/s-0032-1331383

Original Article

Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Endonasal Transphenoidal Surgery Using the BrainLAB^® Headband for Navigation Without Rigid Fixation

Authors

Sara G. Duque

¹Department of Neurosurgery, Weill Cornell Medical College, New York, New York, United States
Ramana Gorrepati

¹Department of Neurosurgery, Weill Cornell Medical College, New York, New York, United States
Kartik Kesavabhotla

¹Department of Neurosurgery, Weill Cornell Medical College, New York, New York, United States
Clark Huang

²Department of Otolaryngology, Weill Cornell Medical College, New York, New York, United States
John A. Boockvar

¹Department of Neurosurgery, Weill Cornell Medical College, New York, New York, United States

Abstract

The number of lesions of the skull base currently resected via endoscopic, endonasal, transphenoidal approach has increased. We have successfully treated 63 consecutive patients with pituitary lesions using this technique in combination with BrainLAB reference headband and laser surface scanning (BrainLAB^®, Heimstetten, Germany) for surgical navigation. This technique affords several advantages over neuronavigation based on adhesive-mounted fiducial registration. Rigid fixation in a Mayfield clamp is not required, which allows for flexibility with respect to positioning of the head during the procedure. This is particularly important, as extension and flexion of the head provide greater exposure to the clivus and anterior skull base, respectively. Also, we demonstrate that this technique is safe, easy-to-use, and faster compared with other ones.

Keywords

pituitary surgery - endoscopic surgery - headband - neuronavigation

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Referenzen

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