Optimizing Surgical Management of Anterior Skull Base Meningiomas: Imaging Modalities, Key Surgical Considerations, and Risk Mitigation Strategies.

IF 4.5 2区 医学 Q1 ONCOLOGY
Cancers Pub Date : 2025-03-14 DOI:10.3390/cancers17060987
Gheorghe Ungureanu, Larisa-Nicoleta Serban, Stefan-Ioan Florian
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引用次数: 0

Abstract

Skull base meningiomas present considerable challenges in surgical management due to their proximity to critical neurovascular structures. Anterior skull base meningiomas encompass olfactory groove, supra- and parasellar, anterior sphenoid ridge, cavernous sinus, and spheno-orbital tumors. The success of surgical resection and the likelihood of complications are influenced by several key factors, including the presence of an intact arachnoid plane, tumor size and consistency, peritumoral brain edema, cranial nerve involvement, vascular encasement, and invasion of critical areas such as the optic canal or cavernous sinus. These factors not only affect the feasibility of gross total resection but also play a pivotal role in determining functional outcomes and postoperative recovery. With the vast array of imaging modalities available, selecting the most appropriate investigations to assess these parameters and tailoring surgical strategies accordingly remain complex tasks. This review examines the critical surgical parameters, identifies the most effective imaging modalities for evaluating each, and provides key insights into how this analysis can guide surgical decision-making, mitigate risks, and minimize complications.

优化前颅底脑膜瘤的手术治疗:成像模式、关键手术考虑因素和风险缓解策略。
颅底脑膜瘤由于其靠近关键的神经血管结构,在外科治疗中提出了相当大的挑战。前颅底脑膜瘤包括嗅沟、鞍上和鞍旁、蝶前脊、海绵窦和蝶眶肿瘤。手术切除的成功和并发症的可能性受到几个关键因素的影响,包括完整的蛛网膜平面的存在、肿瘤的大小和一致性、瘤周脑水肿、颅神经受累、血管包膜和侵犯关键区域,如视神经管或海绵窦。这些因素不仅影响大体全切除的可行性,而且在决定功能结局和术后恢复方面也起着关键作用。有了大量可用的成像方式,选择最合适的调查来评估这些参数并相应地调整手术策略仍然是复杂的任务。这篇综述检查了关键的手术参数,确定了评估每个参数的最有效的成像方式,并提供了关键的见解,分析如何指导手术决策,降低风险,最大限度地减少并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Cancers
Cancers Medicine-Oncology
CiteScore
8.00
自引率
9.60%
发文量
5371
审稿时长
18.07 days
期刊介绍: Cancers (ISSN 2072-6694) is an international, peer-reviewed open access journal on oncology. It publishes reviews, regular research papers and short communications. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.
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