Expanded Endoscopic Endonasal Transtuberculum / Transplanum Approach to the Suprasellar Area: A Stepwise Approach Abordagem via endoscópica expandida transtuberculum - transplanum para a região supraselar: os passos da abordagem
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چکیده
Transtuberculum / Transplanum Approach to the Suprasellar Area: A Stepwise Approach Abordagem via endoscópica expandida transtuberculum transplanum para a região supraselar: os passos da abordagem Rodrigo Alves de Carvalho Cavalcante1,2,6 Rômulo Alberto Silva Marques2 Vinícius Gonçalves dos Santos3 Renato Mariano Nunes4 Tiago Fernando Scopel5,6 Vladimir Arruda Zaccariotti2 João Batista Arruda2 Yvens Barbosa Fernandes1
منابع مشابه
The endoscopic endonasal transsphenoidal approach to the suprasellar cistern.
The transsphenoidal transplanum, transtuberculum approach to the suprasellar cistern, also called the “extended” transsphenoidal approach, has been used during the past 10 years by experienced transsphenoidal surgeons to remove a limited number of well-circumscribed suprasellar lesions (7, 8, 10, 17, 20–23, 29). Initially, a sublabial approach was generally used and visualization was provided w...
متن کاملExpanded endonasal approach: the rostrocaudal axis. Part I. Crista galli to the sella turcica.
OBJECT Transsphenoidal approaches have been used for a century for the resection of pituitary and other sellar tumors. More recently, the standard endonasal approach has been expanded to provide access to other, parasellar lesions. With the addition of the endoscope, this expansion carries significant potential for the resection of skull base lesions. METHODS The anatomical landmarks and surg...
متن کاملNasoseptal flap repair after endoscopic transsellar versus expanded endonasal approaches: is there an increased risk of postoperative cerebrospinal fluid leak?
OBJECTIVES/HYPOTHESIS The development of expanded endoscopic endonasal approaches (EEAs) has allowed resection of cranial-base lesions beyond the sella. One major criticism is an increased risk of postoperative cerebrospinal fluid (CSF) leakage because of the larger skull base defect. We evaluated our experience with vascularized pedicled nasoseptal flap (PNSF) reconstruction and compared the p...
متن کاملEndoscopic, endonasal extended transsphenoidal, transplanum transtuberculum approach for resection of suprasellar lesions.
OBJECT The extended transsphenoidal approach is a less invasive method for removing purely suprasellar lesions compared with traditional transcranial approaches. Most advocates have used a sublabial incision and a microscope and have reported a significant risk of cerebrospinal fluid (CSF) leakage. The authors report on a series of purely endoscopic endonasal surgeries for resection of suprasel...
متن کاملEndonasal Endoscopic Transsphenoidal Resection of Tuberculum Sella Meningioma with Anterior Cerebral Artery Encasement
Anterior cerebral artery (ACA) encasement is often considered a contraindication for an endonasal endoscopic transsphenoidal approach. We report a patient with a tuberculum sella meningioma with ACA encasement, in whom a gross total excision was achieved through an endonasal endoscopic transsphenoidal transtuberculum, transplanum approach. The tumor was sharply dissected along the left ACA usin...
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تاریخ انتشار 2016