Endoscopic Endonasal and Supraorbital Removal of Tuberculum Sellae Meningiomas: Anatomic Guides and Operative Nuances for Keyhole Approach Selection.

Operative Neurosurgery
Regin Jay MallariDaniel F Kelly

Abstract

With growing worldwide endoscopy experience, endonasal and supraorbital removal of tuberculum sellae meningiomas (TSM) has increased. To describe anatomic factors for guiding approach selection and outcomes. Retrospective analysis of patients undergoing endonasal or supraorbital TSM resection: approach criteria, clinical outcomes, acute magnetic resonance imaging (MRI) fluid-attenuated inversion-recovery (FLAIR)/T2 changes. From 2008 to 2020, 33 patients (mean age 55 ± 11 yr) were identified: 20 (61%) had endonasal and 13 (39%) supraorbital removal. Comparing endonasal and supraorbital approaches, mean tumor volume (3.7 ± 3.5 cm3 vs 7.7 ± 8.5 cm3, P = .07); percent tumor above planum (42% vs 65%, P = .02), and lateral tumor beyond supraclinoid internal carotid arteries (1.4 ± 2.0 mm vs 4.0 ± 3.2 mm, P = .006) were greater for supraorbital route. Sellar depth was greater for endonasal route tumors (12.2 ± 2.6 mm vs 9.3 ± 2.4 mm, P = .003). Endoscopy, used in 10/13(77%) supraorbital cases, was helpful in additional tumor removal in 4/10(40%). Gross total removal and mean volumetric tumor resection were 16/20(80%) and 97.5% by endonasal, and 5/13(39%) and 96% by supraorbital route. Vision improved in 12/17 (71%) endonasal, 6/8 (75...Continue Reading

References

Aug 1, 1996·Stroke; a Journal of Cerebral Circulation·R U KothariJ Khoury
Aug 2, 2001·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·J DebusM Wannenmacher
Feb 15, 2005·International Journal of Radiation Oncology, Biology, Physics·Stefanie Milker-ZabelJürgen Debus
Jun 28, 2006·British Journal of Neurosurgery·Naoki OtaniYasuhiro Yonekawa
Oct 27, 2007·Neurosurgical Focus·Andrew E H EliaJay S Loeffler
Jan 8, 2008·Neurosurgery·Chad D ColeWilliam T Couldwell
Apr 22, 2008·Neurosurgery·Enrico de DivitiisOreste de Divitiis
Nov 29, 2011·World Neurosurgery·Ricardo J KomotarTheodore H Schwartz
Feb 12, 2013·World Neurosurgery·David A WilsonDaniel F Kelly
Nov 16, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Resha S SoniJames K Liu
Apr 1, 2014·Journal of Neurosurgery·Maria KoutourousiouPaul A Gardner
Nov 18, 2015·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Daniel F KellyHoward R Krauss
Apr 8, 2017·Journal of Neurosurgery·Sascha MarxHenry W S Schroeder
Sep 28, 2017·World Neurosurgery·Michael KarsyWilliam T Couldwell
Oct 19, 2017·Operative Neurosurgery·Khaled ElshazlyJames J Evans
Apr 3, 2018·Neurosurgical Focus·Malte OttenhausenTheodore H Schwartz
Mar 8, 2019·The Laryngoscope·Philippe LavigneCarl H Snyderman

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