Customized ventral bony and dural opening in the transplanum/transtuberculum and transclival variants of extended endoscopic endonasal approach to suprasellar craniopharyngiomas: an approach-based stepwise cadaveric dissection and clinical applicability.
Acta Neurochir (Wien)
; 166(1): 146, 2024 Mar 22.
Article
de En
| MEDLINE
| ID: mdl-38514521
ABSTRACT
BACKGROUND:
Optimal initial exposure through an extended endoscopic endonasal approach (EEA) for suprasellar craniopharyngiomas ensures safe and unrestricted surgical access while avoiding overexposure, which may prolong the procedure and increase neurovascular adverse events.METHOD:
Here, the authors outline the surgical nuances of a customized bony and dural opening through the transplanum/transtuberculum and transclival variants of the extended EEA to suprasellar craniopharyngiomas based on the tumor-pituitary stalk relationship. A stepwise cadaveric dissection and intraoperative photographs relevant to the approaches are also provided.CONCLUSION:
Safe maximal resection of suprasellar craniopharyngiomas through extended EEAs can be feasibly and safely achieved by implementing of tailored ventral exposure.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Tumeurs de l'hypophyse
/
Craniopharyngiome
/
Neuroendoscopie
Limites:
Humans
Langue:
En
Journal:
Acta Neurochir (Wien)
Année:
2024
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique