[Preoperative Simulation of Endoscopic Endonasal Approach for Craniopharyngiomas or Tuberculum Sellae Meningiomas].
No Shinkei Geka
; 52(2): 347-357, 2024 Mar.
Article
en Ja
| MEDLINE
| ID: mdl-38514124
ABSTRACT
Preoperative simulation for endoscopic endonasal approach(EEA)using computed tomography and magnetic resonance imaging evaluates tumor extension and the relationship between adjacent structure(the pituitary stalk, major vessels, and cranial nerves); therefore, preoperative planning of nasal procedure, skull base bony removal, and cranial base reconstruction are possible. Additionally, three-dimensional(3D)fusion image aids surgeons to visualize intraoperative 3D findings. These preoperative simulations are critical to avoid complications and predict pitfalls perioperatively. However, tumor consistency or adhesion with adjacent structure cannot be predicted but is judged perioperatively, which affects the extent of tumor resection. This manuscript describes important points of preoperative simulation for EEA, especially the transplanum-transtuberculum approach for craniopharyngiomas or tuberculum sellae meningiomas, showing some examples in patients.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neoplasias Hipofisarias
/
Neoplasias de la Base del Cráneo
/
Craneofaringioma
/
Neuroendoscopía
/
Neoplasias Meníngeas
/
Meningioma
Límite:
Humans
Idioma:
Ja
Revista:
No Shinkei Geka
/
No shinkei geka
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Japón