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Endoscopic endonasal transsphenoidal approach for sellar tumors beyond the sellar turcica.
Acta Otolaryngol. 2014 Mar; 134(3):326-30.AO

Abstract

CONCLUSIONS

The endoscopic endonasal transsphenoidal approach can be a choice for sellar tumors beyond the sellar turcica, but it is necessary to make the choice carefully because of the severe surgical risks.

OBJECTIVES

To summarize our experience of removal of sellar tumors beyond the sellar turcica via the endoscopic endonasal transsphenoidal approach and to evaluate the surgical efficacy and complications.

METHODS

Between January 2007 and January 2012, 30 patients with sellar tumors beyond the sellar turcica underwent surgery using the endoscopic endonasal transsphenoidal approach.

RESULTS

Postoperative pathological examination demonstrated that pituitary adenoma occurred in 22 patients, craniopharyngioma in 5, and meningioma in 3. Total removal was achieved in 21 patients (70.0%) and subtotal removal was achieved in 8 patients (26.7%). After the surgery, cerebrospinal fluid leakage occurred in 3 patients, temporary diabetes insipidus occurred in 25 patients and persistent diabetes insipidus in 4 patients, intracranial infection occurred in 1 patient, frontal subdural effusion occurred in 1 patient, sinusitis occurred in 2 patients, epistaxis occurred in 3 patients, and 1 patient with a huge pituitary adenoma died of hypothalamic failure related to the operation.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Song Y
Department of Otolaryngology-Head Neck Surgery, Third Xiangya Hospital of Central South University , Changsha, Hunan.
Li H
No affiliation info available
Liu H
No affiliation info available
Li W
No affiliation info available
Zhang X
No affiliation info available
Guo L
No affiliation info available
Tan G
No affiliation info available

MeSH

AdenomaAdolescentAdultAgedCerebrospinal Fluid RhinorrheaChildCraniopharyngiomaDiabetes InsipidusEndoscopyEpistaxisFemaleHumansHypothalamic DiseasesMaleMeningeal NeoplasmsMeningiomaMiddle AgedPituitary NeoplasmsPostoperative ComplicationsSella TurcicaSphenoid SinusSubdural EffusionSurgical Wound InfectionTreatment OutcomeYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24256041

Citation

Song, Yexun, et al. "Endoscopic Endonasal Transsphenoidal Approach for Sellar Tumors Beyond the Sellar Turcica." Acta Oto-laryngologica, vol. 134, no. 3, 2014, pp. 326-30.
Song Y, Li H, Liu H, et al. Endoscopic endonasal transsphenoidal approach for sellar tumors beyond the sellar turcica. Acta Otolaryngol. 2014;134(3):326-30.
Song, Y., Li, H., Liu, H., Li, W., Zhang, X., Guo, L., & Tan, G. (2014). Endoscopic endonasal transsphenoidal approach for sellar tumors beyond the sellar turcica. Acta Oto-laryngologica, 134(3), 326-30. https://doi.org/10.3109/00016489.2013.857785
Song Y, et al. Endoscopic Endonasal Transsphenoidal Approach for Sellar Tumors Beyond the Sellar Turcica. Acta Otolaryngol. 2014;134(3):326-30. PubMed PMID: 24256041.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic endonasal transsphenoidal approach for sellar tumors beyond the sellar turcica. AU - Song,Yexun, AU - Li,Heqing, AU - Liu,Huowang, AU - Li,Wei, AU - Zhang,Xiaowei, AU - Guo,Lian, AU - Tan,Guolin, Y1 - 2013/11/21/ PY - 2013/11/22/entrez PY - 2013/11/22/pubmed PY - 2014/10/30/medline SP - 326 EP - 30 JF - Acta oto-laryngologica JO - Acta Otolaryngol VL - 134 IS - 3 N2 - CONCLUSIONS: The endoscopic endonasal transsphenoidal approach can be a choice for sellar tumors beyond the sellar turcica, but it is necessary to make the choice carefully because of the severe surgical risks. OBJECTIVES: To summarize our experience of removal of sellar tumors beyond the sellar turcica via the endoscopic endonasal transsphenoidal approach and to evaluate the surgical efficacy and complications. METHODS: Between January 2007 and January 2012, 30 patients with sellar tumors beyond the sellar turcica underwent surgery using the endoscopic endonasal transsphenoidal approach. RESULTS: Postoperative pathological examination demonstrated that pituitary adenoma occurred in 22 patients, craniopharyngioma in 5, and meningioma in 3. Total removal was achieved in 21 patients (70.0%) and subtotal removal was achieved in 8 patients (26.7%). After the surgery, cerebrospinal fluid leakage occurred in 3 patients, temporary diabetes insipidus occurred in 25 patients and persistent diabetes insipidus in 4 patients, intracranial infection occurred in 1 patient, frontal subdural effusion occurred in 1 patient, sinusitis occurred in 2 patients, epistaxis occurred in 3 patients, and 1 patient with a huge pituitary adenoma died of hypothalamic failure related to the operation. SN - 1651-2251 UR - https://www.unboundmedicine.com/medline/citation/24256041/Endoscopic_endonasal_transsphenoidal_approach_for_sellar_tumors_beyond_the_sellar_turcica_ DB - PRIME DP - Unbound Medicine ER -