Extended endoscopic endonasal transsphenoidal removal of tuberculum sellae meningiomas: a preliminary report

Qing Wang, Xiao-Jie Lu, Bing Li, Wei-Yang Ji, Kai-Lai Chen
Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia 2009, 16 (7): 889-93
In this present study, we reviewed our management of seven patients by an extended endoscopic endonasal transsphenoidal approach to resect tuberculum sellae meningiomas. All surgery was performed using pure endoscopy and a neuronavigation system. In six patients, total resection of the tumor was accomplished; one patient had subtotal tumor removal. Post-operatively, visual function was improved in six patients, and was unchanged in one patient. There was asymptomatic tumor recurrence on MRI during the follow-up period in the patient in whom a subtotal resection had been performed. This preliminary report suggests that an extended endoscopic endonasal transsphenoidal approach is an effective, minimally invasive approach for small and medium-sized tuberculum sellae meningiomas located in the midline. However, this approach should be limited to an experienced and coordinated endoneurosurgical team.

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