ArticleNeurosciences (Riyadh, Saudi Arabia)2018
Endoscopic transsphenoidal approach to skull base lesions. A clinical prospective study.
Article in Neurosciences (Riyadh, Saudi Arabia), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Fat in the Fossa and the Sphenoid Sinus: A Simple and Effective Solution to CSF Leaks in Transsphenoidal Surgery. Cohort Study and Systematic Review.Journal of neurological surgery. Part B, Skull base · 2023Article
- Are innovation and creativity possible in a country at war? My story of neurosurgery in Baghdad, Iraq.Surgical neurology international · 2022Article
- PubMed-indexed neurosurgical research productivity of Iraq-based neurosurgeons.Surgical neurology international · 2021Review
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Authors and funding
2 authors.
Funding
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Abstract
objectiveTo review the patients operated by endoscopic transphenoidal approach for skull base lesions. All the clinical data including age, gender, type of pathology, surgical outcome and surgical complications were studied.
methodsA clinical prospective study was conducted on 94 cases with skull base lesion that were treated in Neuroscience Hospital in Baghdad, Iraq between October 2011 and December 2016. We followed each patient for an average of 2 years after surgery to determine most common lesion involving the skull base, age and gender distribution, surgical outcome, complications and hospital accommodation. Freeze system of Storz all the cases in the study.
resultsThe majority of our patients were between the ages of 20-29 years. Among the 94 patients, 67% had macro adenomas, followed by craniopharyngioma 11%. The mortality rate was 2.1%, Gross total removal was 57.4%. All patients show improvement of the headache after surgery, visual improvement was noticed in 73.4% and hospital accommodation was 2-5 days. Three patients developed cerebrospinal fluid leak, Infection meningitis developed in 3 patients 3.1%, and 2 patients (2.1%) suffered from hormonal disorders and were referred to endocrinologist for therapy. Diabetes insipidus developed as a temporary complication in 4 cases (4.2%).
conclusionTrassphenoidal surgery is relatively safe surgery for properly selected patients.
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