Transsphenoidal endoscopic approach to tuberculum sella meningiomas; our experience

Document Type : Original Article

Authors

1 Otorhinolaryngology department, Sohag University,Egypt

2 Neurosurgery department, Sohag University, Egypt

Abstract

Objectives: Suprasellar meningiomas represent a controversial issue regarding its management. Many transcranial procedures have been described with significant morbidities. Recently, Endoscopic transnasal approaches have become a good and safe substitute for selected tumors. In this series, we presented our experience in the management of suprasellar meningiomas in our tertiary institute via an endoscopic transsphenoidal approach
Patients and Methods: A retrospective study was carried out including patients with suprasellar meningiomas managed in our tertiary institute via endoscopic transsphenoidal approach for three years duration from January 2016 to January 2019. Clinical outcomes, the extent of tumor removal, and perioperative complications were reported.
Results: Seven patients were included in this study. Their ages range from 40–73 (mean 57 years). Six of them were females (~86%). Gross total resection (GTR) was achieved in all patients (100 %). Two of them developed CSF leak during the postoperative period and were managed conservatively. Three patients developed postoperative diabetes insipidus with complete cure by conservative treatment except in one patient. No mortality, neurovascular injury, or nasal complications were reported.
Conclusion; Endoscopic Transnasal transsphenoidal approach for suprasellar meningioma is a curative and safe alternative as compared to the traditional microscopic approach.
 

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