Skip to main content

Extended endoscopic endonasal transsphenoidal approaches to the suprasellar region, planum sphenoidale & clivus

  • Chapter
Endoscopic Endonasal Transsphenoidal Surgery

Abstract

The standard unilateral endoscopic transsphenoidal approach has permitted a very wide vision around the sella, with the possibility of lreating lesions not confined to its strict limits. This possibility does not concern only anatomical studies [14, 6] but dinical cases too, that have undergone surgery both within the suprasellar, and in the dival compartments, besides the parasellar area, that has already been treated above. Relevant series on these extended approach es by means of the endoscopic technique have not yet been presented in the main literature, but sporadic reports are now coming in and we will introduce the main guidelines of the procedure along with some illustrative cases.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Alfieri A, Jho HD (2001) Endoscopic endonasal cavernous sinus surgery: an anatomic study. Neurosurgery 48: 827–837

    PubMed  CAS  Google Scholar 

  2. Alfieri A, Jho HD (2001) Endoscopic endonasal approaches to the cavernous sinus: surgical approaches. Neurosurgery 49: 354–362

    PubMed  CAS  Google Scholar 

  3. Alfieri A, Jho HD, Tschabitscher M (2002) Endoscopic endonasal approach to the ventral cranio-cervical junction: anatomical study. Acta Neurochir (Wien) 144: 219–225

    Article  CAS  Google Scholar 

  4. Alfieri A, Jho HD, Schettino R, Tschabitscher M (2003) Endoscopic endonasal approach to the pterygopalatine fossa: anatomic study. Neurosurgery 52: 374–380

    Article  PubMed  Google Scholar 

  5. Andrews RJ, Bringas JR (1993) A review of brain retraction and recommendations for minimizing intraoperative brain injury. Neurosurgery 33: 1052–1064

    Article  PubMed  CAS  Google Scholar 

  6. Cappabianca P, Alfieri A, de Divitiis E, Tschabitscher M (2001) Atlas of endoscopic anatomy for endonasal intracranial surgery. Springer, Wien New York, pp 134

    Book  Google Scholar 

  7. Cappabianca P, Cavallo LM, Esposito F, Valente V, de Divitiis E (2002) Sellar repair in endoscopic endonasal transsphenoidal surgery: results of 170 cases. Neurosurgery 51: 1365–1372

    PubMed  Google Scholar 

  8. Dawson BH (1958) The blood vessels of the human optic chiasma and their relation to those of the hypophysis and hypothalamus. Brain 81: 207–217

    Article  PubMed  CAS  Google Scholar 

  9. de Divitiis E, Cappabianca P, Cavallo LM (2002) Endoscopic transsphenoidal approach: adaptability of the procedure to different sellar lesions. Neurosurgery 51: 699–707

    PubMed  Google Scholar 

  10. Fahlbusch R, Honegger J, Paulus W, Huk W, Buchfelder M (1999) Surgical treatment of craniopharyngiomas: Experience with 168 patients. J Neurosurg 90: 237–250

    Article  PubMed  CAS  Google Scholar 

  11. Gay E, Sekhar LN, Rubinstein E, Wright DC, Sen C, Janecka IP, Snyderman CH (1995) Chordomas and chondrosarcomas of the cranial base: results and follow-up of 60 patients. Neurosurgery 36: 887–897

    Article  PubMed  CAS  Google Scholar 

  12. Hashimoto N, Handa H, Yamagami T (1986) Transsphenoidal extracapsular approach to pituitary tumors. J Neurosurg 64: 16–20

    Article  PubMed  CAS  Google Scholar 

  13. Hughes B (1958) Blood supply of the optic nerves and chiasma and its dinical significance. Br J Ophthalmol 42: 106–125

    Article  PubMed  CAS  Google Scholar 

  14. James D, Crockard HA (1991) Surgical access to the base of the skull and upper cervical spine by extended maxillotomy. Neurosurgery 29: 411–416

    Article  PubMed  CAS  Google Scholar 

  15. Jho HD, Carrau RL, Mc Laughlin ML, Somaza SC (1996) Endoscopic transsphenoidal resection of a large chordoma in the posterior fossa. Neurosurgical Focus 1: 1–7

    Google Scholar 

  16. Jho H (1999) endoscopic endonasal skull base surgery for midline lesions from olfactory groove to distal divus. Presented at the 67’h Annual Meeting of the American Association of Neurological Surgeons. New Orleans, Louisiana, April 24-29, 1999

    Google Scholar 

  17. Kaptain GJ, Vincent DA, Sheehan JP, Laws ER Jr (2001) Transsphenoidal approaches for extracapsular resection of midline suprasellar and anterior cranial base lesions. Neurosurgery 49: 94–101

    PubMed  CAS  Google Scholar 

  18. Kato T, Sawamura J, Abe H, Nagashima M (1998) Transsphenoidal-transtuberculum sellae approach for supradiaphragmatic tumours: technical note. Acta Neurochir (Wien) 140: 715–719

    Article  CAS  Google Scholar 

  19. Kelley DF, Oskouian RJ, Fineman I (2001) Collagen sponge repair of small cerebral fluid leaks obviates tissue grafts and cerebrospinal fluid diversion after pituitary surgery. Neurosurgery 49: 885–890

    Google Scholar 

  20. Kelley TF, Stankiewicz JA, Chow JM, Origitano TC (1999) Endoscopic transsphenoidal biopsy of the sphenoid and dival mass. Am J Rhinol 13: 17–21

    Article  PubMed  CAS  Google Scholar 

  21. Kim J, Choe I, Bak K, Kim C, Kim N, Yang Y (2000) Transsphenoidal supradiaphragmatic intradural approach: technical note. Minim Invasive Neurosurg 43: 33–37

    Article  PubMed  CAS  Google Scholar 

  22. Kouri JG, Chen MY, Watson JC, Odfield EH (2000) Resection of suprasellar tumors by using a modified transsphenoidal approach. J Neurosurg 92: 1028–1035

    Article  PubMed  CAS  Google Scholar 

  23. Lang J (1995) Transsphenoidal approach to the hypophysis, dinical anatomy, In: Lang J (ed) Skull base and related structures: atlas of dinical anatomy. Schattauer, Stuttgart, pp 203–206

    Google Scholar 

  24. Laws ER Jr (1980) Transsphenoidal microsurgery in the management of craniopharyngioma. J Neurosurg 52: 661–666

    Article  PubMed  Google Scholar 

  25. Laws ER Jr (1993) Clivus chordomas. In: Sekhar LN, Janecka IP (eds) Surgery of cranial base tumors. Raven Press, New York, pp 679–685

    Google Scholar 

  26. Laws ER Jr (2001) Comment to the artide: Cappabianca P, Cavallo LM, Mariniello G, de Divitiis O, Becerra Romero ADC, de Divitiis E: Easy sellar reconstruction in endoscopic transsphenoidal surgery with polyester-silicone dural substitute and fibrin glue: technical note. Neurosurgery 49: 475–476

    Google Scholar 

  27. Maira G, Anile C, Rossi GF, Colosimo C (1995) Surgical treatment of craniopharyngiomas: An evaluation of the transsphenoidal and pteryonal approaches. Neurosurgery 36: 715–724

    Article  PubMed  CAS  Google Scholar 

  28. Maira G, Pallini R, Anile C, Fernandez E, Salvinelli F, La Rocca LM, Rossi GF (1996) Surgical treatment of dival chordomas: the transsphenoidal approach revisited. Neurosurgery 85: 784–792

    Article  CAS  Google Scholar 

  29. Mason RB, Nieman LK, Doppman JL, Oldfield EH (1997) Selective excision of adenomas originating in or extending into tne pituitary stalk with preservation of pituitary function. J Neurosurg 87: 343–351

    Article  PubMed  CAS  Google Scholar 

  30. Miyagi A, Maeda K, Sugawara T (1998) Usefulness of neuroendoscopy and a neuronavigator for removal of dival chordoma. No Shinkei Geka 26: 169–175

    PubMed  CAS  Google Scholar 

  31. Renn WH, Rhoton AI Jr (1975) Microsurgical anatomy of the sellar region. J Neurosurg 43: 288–298

    Article  PubMed  CAS  Google Scholar 

  32. Rhoton AL Jr, Harris FS, Renn WH (1977) Microsurgical anatomy of the sellar region and cavernous sinus. In: Glaser JS (ed) Neuro-Ophthalmology. CV Mosby, St. Louis, vol 9, pp 75–105

    Google Scholar 

  33. Schaller C, Klemm E, Haun D, Schramm J, Meyer B (2002) The transsylvian approach is “minimally invasive” but not “atraumatic”. Neurosurgery 51: 971–977

    PubMed  Google Scholar 

  34. Steele EJ, Blunt MJ (1956) The blood supply of the optic nerve and chiasma in man. Case report. J Anat 90: 486–493

    Google Scholar 

  35. Weiss M.H. (1987) The transnasal transsphenoidal approach. In: Apuzzo MLJ (ed) Surgery of the third ventride. Williams & Wilkins, Baltimore, pp 476–494

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag Wien

About this chapter

Cite this chapter

Cappabianca, P., Frank, G., Pasquini, E., de Divitiis, O., Calbucci, F. (2003). Extended endoscopic endonasal transsphenoidal approaches to the suprasellar region, planum sphenoidale & clivus. In: de Divitiis, E., Cappabianca, P. (eds) Endoscopic Endonasal Transsphenoidal Surgery. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6084-8_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-6084-8_11

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-7225-4

  • Online ISBN: 978-3-7091-6084-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics