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Commentary
3 (
3
); 419-419

Commentary

Department of Neurosurgery, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi Kofu, Japan
Address for correspondence: Dr. Arata Watanabe, Department of Neurosurgery, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi Kofu, Japan. E-mail: arata@yamanashi.ac.jp

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This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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This article was originally published by Medknow Publications & Media Pvt Ltd and was migrated to Scientific Scholar after the change of Publisher.

This manuscript[1] well described usefulness of endoscope-assisted microsurgery. Recently, endoscope is widely used such as aneurysmal clipping[2] and microvascular decompression[3] to make microsurgery safely. Posterior fossa tumor including epidermoid tumor is also good indication for endoscopic assistance.[4] Particularly the lower cranial nerve injury results in severe condition, which is dysphagia and hoarseness. Aspiration pneumonia is sometimes critical. To spare the cranial nerve is difficult but is important at the narrow operative view.

However, to use endoscope has also risk at the narrow space. It is important to become skilled and master to use endoscope.

I believe that endoscope-assisted microsurgery for the posterior fossa should be performed after mastering endoscopic usage for aneurysmal clipping and microvascular decompression.

References

  1. , , . Endoscopic assisted microsurgical removal of cerebello-pontine angle and prepontine epidermoid. J Neurosci Rural Pract. 2012;3:414-9.
    [Google Scholar]
  2. , , , , , , . Simultaneous microscopic and endoscopic monitoring during surgery for internal carotid artery aneurysms. J Neurosurg. 2004;101:989-95.
    [Google Scholar]
  3. , , , . Endoscope-assisted microvascular decompression for trigeminal neuralgia: technical case report. Neurosurgery. 2006;59(4 Suppl 2):ONSE489-90. discussion ONSE490
    [Google Scholar]
  4. , , , , , , . Combined microsurgical and endoscopic removal of extensive suprasellar and prepontine epidermoid tumors. Neurol Med Chir (Tokyo). 2011;51:684-8.
    [Google Scholar]

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