Endonasal Endoscopic Transsphenoidal Approach to Lesions of the Sellar Region in Pediatric Patients

The Journal of Craniofacial Surgery
Rucai ZhanXingang Li

Abstract

Endoscopic endonasal (transnasal) transsphenoidal approach (EETA) for management of sellar lesions has gained popularity as a reliable and atraumatic method. Most reported studies of EETA have focused on surgical outcome in adult patients; and there are few reports to describe outcome in pediatric patients. The authors report our early experience of 11 patients aged 14 to 18 years managed with EETA to evaluate the safety and effectiveness of EETA in the pediatric. Retrospective review of hospital records of 11 pediatric patients who underwent endonasal endoscopic transsphenoidal approach for resection of sellar region lesion over 2 years. Age, sex, symptoms, tumor size, extent of tumor resection, clinical outcome, and surgical complications were reviewed. Total resection was achieved in 9 (81.8%) patients, subtotal resection in 2 (18.2%), and no patient had partial or insufficient resection. All (100%) patients achieved visual remission, 7 (87.5%) of 8 patients with hyperhormone preoperative had endocrinological remission. Two (18.2%) patients incurred temporary diabetes insipidus (DI) postoperatively. One (9.1%) patient incurred postoperative cerebrospinal fluid (CSF) leakage which resolved following lumbar drainage. Three (27...Continue Reading

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Citations

Sep 15, 2016·International Forum of Allergy & Rhinology·Curtis HanbaAdam J Folbe
Feb 24, 2017·The Journal of Craniofacial Surgery·Wei JiaoTing Lei
Mar 25, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Joshua A LeeDavid A Gudis
May 12, 2017·Journal of Korean Neurosurgical Society·Yong Hwy KimSeung-Ki Kim
Aug 5, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Yong Hwy KimSeung-Ki Kim
Jun 15, 2019·Journal of Neurosurgery. Pediatrics·Jennifer L QuonMichael S B Edwards
Nov 18, 2018·Frontiers in Pediatrics·Mitchell T FosterConor Mallucci
Nov 3, 2020·Journal of Neurological Surgery. Part B, Skull Base·Gokmen KahilogullariAgahan Unlu
Dec 4, 2021·The Neuroradiology Journal·Bryan LubomirskyVladimir Ivanovic

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Methods Mentioned

BETA
surgical resection
hormone replacement
dissection
hormone replacement therapy

Software Mentioned

EETA

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