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Conclusions

Оглавление

EER, when properly planned and performed by experienced surgeons, is the ideal treatment for a large number of skull base malignancies, in association with appropriate adjuvant/neoadjuvant therapies, with long-term outcomes comparable to those achieved with traditional external approaches [21]. EER should be performed only in high-specialized centers and by surgeons with extensive endoscopic experience. Long and dedicated training in the treatment of inflammatory and benign endonasal lesions is required, with accurate and precise knowledge of sinonasal and skull base anatomy.

Lastly, multidisciplinary team-work is of utmost importance, with the cooperation of several specialists, including otolaryngologists, neurosurgeons, ophthalmologists, radiation oncologists, medical oncologists, occupational physicians, and pathologists [25]. To date, due to the rarity of sinonasal and skull base tumors, further studies with longer pathology-specific follow-up are needed to validate and confirm these statements and to refine the role of endoscopic endonasal surgery in the setting of multidisciplinary care.

Anterior Skull Base Tumors

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