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Before mummify someone , the ancient Egyptians would remove the deceased ’s brain through the olfactory organ . Today , neurosurgeons can operate on brain tumour using a standardised method acting .
Gaining access to tumors in the pituitary gland and other regions at the skull base — the bony ridge behind the nose and oculus — is unmanageable , because these areas are close to critical cheek and rakehell vessels unite to thebrain , head and spinal cord . Traditionally , removing these neoplasm require a large incision , known as a craniotomy , which leave scrape and can requires a lengthy recovery period .
Transnasal endoscopic skull base surgery is far less invasive than a craniotomy.
But in recent years , surgeons have developed a much less invasivebrain surgerymethod . Transnasal endoscopic skull - base surgery involves enter the brain through the anterior naris , take out the tumor and reconstructing the tissue paper along the entryway . [ pic : 10 Weird & Terrifying Medical Instruments from the Past ]
Nostrils up
The new operation method " removes bone instead of brain , to minimize collateral harm , " said Dr. Pablo Recinos , a neurosurgeon at Cleveland Clinic in Ohio , who has been one of the innovator of this technique .
A major advance in skull - pedestal operating theater came as a result of the improvement inendoscopic technique , which involve the use of a midget , telescoping camera , Recinos told Live Science .
neurosurgeon started using endoscopes in pituitary - tumor operating room about 20 geezerhood ago , Recinos said . Then , in the last decade , they began do endoscopic skull - fundament surgery through the olfactory organ . But it was n’t until recently that scientists developed skull - base tissue paper reconstructive memory methods .
Performing transnasal mental capacity surgeries requires two people to operate on the patient at the same meter : a neurosurgeon to perform the surgery , and another doctor — commonly an ear , nose and pharynx specialiser ( ENT ) — to control the endoscope .
" It ’s literally like a marriage or a dance partnership , " Recinos said . " You need to pick up to trip the light fantastic toe without stepping on each other ’s toe . "
Recinos works with Dr. Raj Sindwani , an ENT at Cleveland Clinic .
During a surgery , Sindwani first snakes his instruments through the nostrilsto the sinusesand removes lean bony segmentation that split up the upper nose from the skull fundament . Then , he open up the brain ’s smother membranes , " and we ’re into the Einstein , " Sindwani articulate .
Next , Recinos goes in and removes the neoplasm , using the endoscope and a brain navigation system .
Finally , the surgeons reconstruct their tracks and reconstruct the tissue paper that was damaged during entry . [ take in a Brain Surgery Through the Nose ( Video ) ]
Two surgeons , four men
" This technique was first insert less than 10 geezerhood ago , and only a few centers are doing it to a high layer , " Sindwani tell Live Science . " What ’s unique to what we ’re doing is , we do n’t dog in and out — we ’re there the intact time and doing it as a combined approach . It ’s a two - surgeon , four - hand technique . "
liken with traditional craniotomies , the transnasal method allows for more completetumor removal , Recinos said . But pituitary tumors are generally benign , so it ’s not critical to get every last cellphone , he read .
The new method may reduce the distance of time patients pass in the hospital after surgery , compared with patients recovering from craniotomies , although enquiry is on-going , Recinos said .
Like all surgical process , the transnasal skull - base surgery transport risk of infection , including bleeding , contagion , throw , damage to optic nerves ( which can leave in blindness ) and other nerve , and escape of spinal fluid if the hole at the skull base is n’t by rights sealed .
But having the endoscope and navigation shaft serve minimize these risks by offer better visualization , Recinos order .
