Extended endoscopic transphenoidal approach for tuberculum sellae meningiomas


CEYLAN S. , Koc K., ANIK İ.

ACTA NEUROCHIRURGICA, vol.153, no.1, pp.1-9, 2011 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 153 Issue: 1
  • Publication Date: 2011
  • Doi Number: 10.1007/s00701-010-0788-1
  • Title of Journal : ACTA NEUROCHIRURGICA
  • Page Numbers: pp.1-9
  • Keywords: Tuberculum sellae, Extended endoscopic approach, Meningioma, Transphenoidal approach, ENDONASAL TRANSSPHENOIDAL APPROACH, SKULL BASE, SURGICAL EXPERIENCE, SUPRASELLAR TUMORS, RESECTION, RECONSTRUCTION, SURGERY, REMOVAL

Abstract

Removal of tuberculum sella (TS) meningiomas is traditionally performed through transcranial approaches. Wide use of the endoscope in transphenoidal pituitary surgery is recently accessible through the tuberculum sellae with an endoscope-assisted or purely endoscopic technique. Extended endoscopic approach is an important and alternative route for meningiomas, which are located on the midline originating from the tuberculum sella. However, cerebrospinal fluid (CSF) leakage is an important problem in extended endoscopic approaches. In this report, we discuss surgical limitations and nuances of endoscopic transphenoidal approach from a retrospective analysis of nine patients with TS meningiomas.