Development of skull base neurosurgery: From the past to the future
Pinan Liu1,2
1 Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China;
2 Department of Neural Reconstruction, Beijing Neurosurgery Institute, Capital Medical University, Beijing 100050, China
Development of skull base neurosurgery: From the past to the future
Pinan Liu1,2
1 Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China;
2 Department of Neural Reconstruction, Beijing Neurosurgery Institute, Capital Medical University, Beijing 100050, China
摘要 The origin of neurosurgery dates back to the end of the 19th century. Many prominent and pioneering neurosurgeons contributed substantially to the development of skull base neurosurgery. In the naked eye era, Harvey Cushing promoted the delicate and meticulous surgical techniques, and significantly decreased the surgical mortality. In the 1960s, the operative microscope was introduced to the neurosurgery. Neurosurgeons represented by Yasargil took full advantage of this technology and pushed skull base neurosurgery into a new era. Transnasal transsphenoidal approach has long been used to resect pituitary tumor. The use of endoscope expands the transnasal exposure from the crista galli to C-2. The endoscopic approach may represent a paradigm shift, perhaps equivalent to the introduction of the microscope, in approaching various skull base lesions.
Abstract: The origin of neurosurgery dates back to the end of the 19th century. Many prominent and pioneering neurosurgeons contributed substantially to the development of skull base neurosurgery. In the naked eye era, Harvey Cushing promoted the delicate and meticulous surgical techniques, and significantly decreased the surgical mortality. In the 1960s, the operative microscope was introduced to the neurosurgery. Neurosurgeons represented by Yasargil took full advantage of this technology and pushed skull base neurosurgery into a new era. Transnasal transsphenoidal approach has long been used to resect pituitary tumor. The use of endoscope expands the transnasal exposure from the crista galli to C-2. The endoscopic approach may represent a paradigm shift, perhaps equivalent to the introduction of the microscope, in approaching various skull base lesions.
Pinan Liu. Development of skull base neurosurgery: From the past to the future[J]. 临床转化神经科学, 2016, 2(3): 153-154.
Pinan Liu. Development of skull base neurosurgery: From the past to the future. Translational Neuroscience and Clinics, 2016, 2(3): 153-154.
Priola SM, Raffa G, Abbritti RV, Merlo L, Angileri FF, La Torre D, Conti A, Germanò A, Tomasello F. The pioneering contribution of italian surgeons to skull base surgery. World Neurosurg 2014, 82(3-4):523-528.<br />
[2]
McRackan TR, Brackmann DE. Historical perspective on evolution in management of lateral skull base tumors. Otolaryngol Clin North Am 2015, 48(3):397-405.<br />
[3]
House HP, House WF. Historical review and problem of acoustic neuroma. Arch Otolaryngol 1964, 80(6):601-604.<br />
[4]
Machinis TG, Fountas KN, Dimopoulos V, Robinson JS. History of acoustic neurinoma surgery. Neurosurg Focus 2005, 18(4):e9.<br />
[5]
House WF. Surgical exposure of the internal auditory canal and its contents through the middle, cranial fossa. Laryngoscope 1961, 71(11):1363-1385.<br />
[6]
Liu JK, Das K, Weiss MH, Laws ER Jr, Couldwell WT. The history and evolution of transsphenoidal surgery. J Neurosurg 2001, 95(6):1083-1096.<br />
[7]
Grosvenor AE, Laws ER. The evolution of extracranial approaches to the pituitary and anterior skull base. Pituitary 2008, 11(4):337-345.<br />
[8]
Maroon JC. Skull base surgery:Past, present, and future trends. Neurosurg Focus 2005, 19(1):E1.
2016, Vol. 2 
