Endoscopic extended transsphenoidal resection of tuberculum sellae meningiomas

Nuances of neurosurgical technique

Charles Kulwin, Theodore H. Schwartz, Aaron Cohen-Gadol

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Over the past decade, advances in endoscopic microsurgical techniques have resulted in an increasingly aggressive endonasal approach to tumors of the midline skull base. Meningiomas of the tuberculum sellae are often closely associated with cerebrovascular structures, and their removal has traditionally required a transcranial approach. An endonasal approach offers many advantages, including early tumor devascularization and tumor debulking (without manipulation of the optic apparatus), direct access to the medial optic canal, and a minimal-access corridor. Although recent articles have focused on techniques for reaching and approaching the area of the pathology (how to get there), the authors of this report discuss the technical nuances of endoscopic microsurgery when the operator is already "there." They describe their 6-step technique for endoscopic skull base bone removal, tumor dissection/resection, and closure. They also augment their description with elaborate illustrations.

Original languageEnglish
Article numberE6
JournalNeurosurgical Focus
Volume35
Issue number6
DOIs
StatePublished - Dec 2013

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Meningioma
Skull Base
Neoplasms
Microsurgery
Dissection
Pathology
Bone and Bones

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Endoscopic extended transsphenoidal resection of tuberculum sellae meningiomas : Nuances of neurosurgical technique. / Kulwin, Charles; Schwartz, Theodore H.; Cohen-Gadol, Aaron.

In: Neurosurgical Focus, Vol. 35, No. 6, E6, 12.2013.

Research output: Contribution to journalArticle

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