Improving Outcomes and Preventing Complications in Cranial Base Surgery

Dear Colleagues,

Despite recent advances, cranial base surgery remains a challenge for neurosurgeons, with many problems to be addressed. Preserving cranial nerves and vascular structures during a skull base tumor removal and a careful reconstruction technique to avoid complications such as CSF leakage are some examples of the complexity of this kind of surgery. In cranial base surgery, oncological radicality should be always balanced with the preservation of neurological function. Furthermore, when feasible, minimally invasive approaches should always be attempted to minimize the impact of surgery on the patient. The increasing use of intraoperative neuromonitoring techniques has changed the neurosurgeon approach toward a “functionally” guided surgery. Recent advances in biomaterials as well as in surgical tools may help to improve outcomes in this kind of surgery. The integration and timing of radiotherapy and radiosurgery in the clinical history of patients remain an open field. The aim of this Special Issue is to provide a focus on advances in anterior, middle, and posterior cranial fossa surgery, pituitary surgery, cranial base reconstruction techniques, minimally invasive approaches, techniques to prevent complications, and intraoperative neuromonitoring both for tumoral and functional pathologies such as acoustic neuroma, meningiomas, intrinsic tumors, trigeminal neuralgia, hemifacial spasm, and other neurovascular conflict syndromes.

Dr. Nicola Montano
Dr. Joao Paulo Almeida
Guest Editors

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