{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T15:30:34Z","timestamp":1744903834917},"reference-count":0,"publisher":"Academy of Sciences and Arts of Bosnia and Herzegovina","issue":"1, 2, 3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ama"],"abstract":"<jats:p>&lt;p&gt;&lt;strong&gt;Objective&lt;\/strong&gt;. Our main objectives were to analyze and determine the safety, risk of post-operative complications, and surgical outcome of the endoscopic endonasal approach to the clival region.&lt;\/p&gt;&lt;p&gt;&lt;strong&gt;Methods&lt;\/strong&gt;. From May 2011 to May 2019, we operated on 19 patients using the endoscopic endonasal approach to the clival region. Their pathologies were diverse: pituitary macroadenoma, craniopharyngioma, metastasis, and a prepontine neurenteric cyst. The first operations were supervised by an experienced center using telementoring. We explained our surgical technique and analyzed the patients\u2019 data, which were included in our study.&lt;\/p&gt;&lt;p&gt;&lt;strong&gt;Results. &lt;\/strong&gt;We managed to achieve complete removal of the pathological process in 14 patients. There were no deaths in the perioperative and early post-operative period. The most common complication was a cerebrospinal fluid leak, which was successfully managed in all of the cases. There were no deaths or significant morbidities in the post-operative period.&lt;\/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion. &lt;\/strong&gt;An endoscopic transnasal approach to the clival region is safe and effective. It provides better visualization of that region compared to other transcranial approaches. The risk of post-operative complications is significantly lower with the help of modern reconstructive techniques. CSF leak is the most frequent complication.&lt;\/p&gt;<\/jats:p>","DOI":"10.5644\/ama2006-124.306","type":"journal-article","created":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T10:31:11Z","timestamp":1621247471000},"page":"45","source":"Crossref","is-referenced-by-count":3,"title":["Endoscopic Endonasal Approaches to the Clival Region"],"prefix":"10.5644","volume":"49","author":[{"given":"Janez","family":"Ravnik","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Borut","family":"Hribernik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo\u0161tjan","family":"Lani\u0161nik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3666","published-online":{"date-parts":[[2021,1,28]]},"container-title":["Acta Medica Academica"],"original-title":[],"link":[{"URL":"http:\/\/www.ama.ba\/index.php\/ama\/article\/viewFile\/424\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T10:31:43Z","timestamp":1621247503000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.ama.ba\/index.php\/ama\/article\/view\/424"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,28]]},"references-count":0,"journal-issue":{"issue":"1, 2, 3","published-online":{"date-parts":[[2021,1,28]]}},"URL":"https:\/\/doi.org\/10.5644\/ama2006-124.306","relation":{},"ISSN":["1840-2879","1840-1848"],"issn-type":[{"value":"1840-2879","type":"electronic"},{"value":"1840-1848","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1,28]]}}}