Extended transsphenoidal approach.

Abstract:

:The authors have developed an extended transsphenoidal approach with submucosal posterior ethmoidectomy for resection of tumors located in the cavernous sinus or the suprasellar region that are difficult to remove via the conventional transsphenoidal approach. Surgery was performed using this approach in 14 patients with large pituitary adenomas, three patients with craniopharyngiomas, and one patient with a meningioma of the tuberculum sellae. The submucosal dissection of the nasal septum used in the conventional transsphenoidal approach was extended to the superior lateral wall of the nasal cavity to expose the bony surface of the superior turbinate lying under the nasal mucosa. Submucosal posterior ethmoidectomy widened the area visualized through the conventional transsphenoidal approach both superiorly and laterally. This provided a safer and less invasive access to lesions in the cavernous sinus or the suprasellar region through the sphenoid sinus. Using this approach the authors encountered no postoperative complications, such as olfactory disturbance, cranial nerve palsy, or arterial injury. In this article the authors present the surgical methods used in this approach.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Frank G,Pasquini E,Mazzatenta D

doi

10.3171/jns.2001.95.5.0917

subject

Has Abstract

pub_date

2001-11-01 00:00:00

pages

917-8

issue

5

eissn

0022-3085

issn

1933-0693

journal_volume

95

pub_type

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