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Extended endoscopic approaches for midline skull-base lesions.
Neurosurg Rev. 2009 Jul; 32(3):309-19; discussion 318-9.NR

Abstract

The endoscopic transsphenoidal approach has been reported in the literature as a useful tool to treat sellar and parasellar lesions. The endoscope permits a panoramic view instead of the narrow microscopic view, and it allows the inspection and removal of the lesions of sellar, parasellar, and suprasellar compartments by angled-lens endoscopes. On the basis of the experience gained with the use of the endoscope, we have performed extended endoscopic endonasal transsphenoidal approach in 13 of 200 (total endoscopic transphenoidal approaches since September 1997) patients for the last 5 years. Extended endoscopic transsphenoidal approach was performed for three patients with pituitary adenoma, two patients with craniopharyngioma, one patient with metastatic lesion, one patient with anaplastic germinoma, two patients with chordoma, one patient with chondrosarcoma, one plasmocytoma, and two patients with tuberculum sella meningioma. Total removal of the tumor was achieved in nine patients and subtotal removal was achieved in four patients. Extended approaches are essential for reaching the area from lamina cribrosa to the cranio-cervical junction. Endoscopic approach permits reaching the lesion without brain retraction and with minimal neurovascular manipulation. The main problems are related to the hemorrhage control of intracranial vessels and to the closure of the dural and bony defects, with subsequent increased risk of postoperative cerebrospinal fluid leak, tensive pneumocephalus, and/or meningitis.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Ceylan S
Department of Neurosurgery, School of Medicine, Kocaeli University, Eski Istanbul Yolu 10. Km, Izmit, Kocaeli, Turkey.
Koc K
No affiliation info available
Anik I
No affiliation info available

MeSH

AdolescentAdultAgedChondrosarcomaChordomaEndoscopyFemaleGerminomaHumansMagnetic Resonance ImagingMaleMeningiomaMiddle AgedPituitary NeoplasmsPlasmacytomaPostoperative ComplicationsRetrospective StudiesSella TurcicaSkull BaseSphenoid BoneTreatment Outcome

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19408020

Citation

Ceylan, Savas, et al. "Extended Endoscopic Approaches for Midline Skull-base Lesions." Neurosurgical Review, vol. 32, no. 3, 2009, pp. 309-19; discussion 318-9.
Ceylan S, Koc K, Anik I. Extended endoscopic approaches for midline skull-base lesions. Neurosurg Rev. 2009;32(3):309-19; discussion 318-9.
Ceylan, S., Koc, K., & Anik, I. (2009). Extended endoscopic approaches for midline skull-base lesions. Neurosurgical Review, 32(3), 309-19; discussion 318-9. https://doi.org/10.1007/s10143-009-0201-9
Ceylan S, Koc K, Anik I. Extended Endoscopic Approaches for Midline Skull-base Lesions. Neurosurg Rev. 2009;32(3):309-19; discussion 318-9. PubMed PMID: 19408020.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Extended endoscopic approaches for midline skull-base lesions. AU - Ceylan,Savas, AU - Koc,Kenan, AU - Anik,Ihsan, Y1 - 2009/04/30/ PY - 2008/06/05/received PY - 2009/02/15/accepted PY - 2008/11/10/revised PY - 2009/5/2/entrez PY - 2009/5/2/pubmed PY - 2009/8/20/medline SP - 309-19; discussion 318-9 JF - Neurosurgical review JO - Neurosurg Rev VL - 32 IS - 3 N2 - The endoscopic transsphenoidal approach has been reported in the literature as a useful tool to treat sellar and parasellar lesions. The endoscope permits a panoramic view instead of the narrow microscopic view, and it allows the inspection and removal of the lesions of sellar, parasellar, and suprasellar compartments by angled-lens endoscopes. On the basis of the experience gained with the use of the endoscope, we have performed extended endoscopic endonasal transsphenoidal approach in 13 of 200 (total endoscopic transphenoidal approaches since September 1997) patients for the last 5 years. Extended endoscopic transsphenoidal approach was performed for three patients with pituitary adenoma, two patients with craniopharyngioma, one patient with metastatic lesion, one patient with anaplastic germinoma, two patients with chordoma, one patient with chondrosarcoma, one plasmocytoma, and two patients with tuberculum sella meningioma. Total removal of the tumor was achieved in nine patients and subtotal removal was achieved in four patients. Extended approaches are essential for reaching the area from lamina cribrosa to the cranio-cervical junction. Endoscopic approach permits reaching the lesion without brain retraction and with minimal neurovascular manipulation. The main problems are related to the hemorrhage control of intracranial vessels and to the closure of the dural and bony defects, with subsequent increased risk of postoperative cerebrospinal fluid leak, tensive pneumocephalus, and/or meningitis. SN - 1437-2320 UR - https://www.unboundmedicine.com/medline/citation/19408020/Extended_endoscopic_approaches_for_midline_skull_base_lesions_ L2 - https://dx.doi.org/10.1007/s10143-009-0201-9 DB - PRIME DP - Unbound Medicine ER -