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Abstract
: Functional endoscopic sinus surgery was
introduced more than two decades ago for treatment or sionasal
diseases. The success of functional endoscopic sinus surgery. the
development of modern endoscopic equipment and the concept
of adopting more conservative and minimally invasive surgery
have aroused the interest of extending endoscopic uses to
involve adjacent areas and different pathologies. endoscopic
transsphenoidal surgery is considered the standard for treating
ellar lesions with the ability to work on tumors in the supra.
para, retro and infrasellar region under complete visual control.
In the last few years, many studies have been performed
describing the possibility of accessing midline skull base lesions
whether ventral or dorsal using extended endonasal endoscopic
technique. The future carries many premises in the field of
en do copic skull base surgery with the availability of more
ophisticated instrumentation, robotic assisted surgery and real
time intraoperative navigation systems.
Objectives: The aim of the work is to review the di lferent
endoscopic approaches and techniques for manegment of lesions
involving the ventral skull base and to explore the merits of this
urgery and its possible future expectations