SynthesisScientific reports2019
Transsphenoidal versus Transcranial Approach for Treatment of Tuberculum Sellae Meningiomas: A Systematic Review and Meta-analysis of Comparative Studies.
Synthesis in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Anterior Midline Skull Base Meningiomas: A Systematic Review of Resection Rates, Functional Outcomes, and Perioperative Complications Following Contemporary Endoscopic Endonasal Versus Transcranial Approaches.Journal of clinical medicine · 2026Review
- Midterm Outcomes of the Endoscopic Endonasal Approach for Treating Tuberculum Sellae Meningiomas: The Impact of Malleable Forceps and Predictors of Surgical Success.Journal of neurological surgery. Part B, Skull base · 2026Article
- Visual outcomes following endoscopic endonasal approach for tuberculum sellae meningiomas a systematic review and meta-analysis.International journal of surgery (London, England) · 2026Article
- A concise history of skull base surgery: what is its contribution to neurosurgery?Acta neurochirurgica · 2026Review
- Posterior fossa hemorrhagic complication after tuberculum sellae meningioma surgery through transcranial corridor: A proposed hypothesis.Surgical neurology international · 2025Article
- Factors influencing postoperative visual improvement in 208 patients with tuberculum sellae meningiomas.Acta neurochirurgica · 2024Article
- Comparative efficacy of transcranial and endoscopic surgery for craniopharyngioma: A systematic review and meta-analysis of contemporary literature.Surgical neurology international · 2024Article
- International Tuberculum Sellae Meningioma Study: Preoperative Grading Scale to Predict Outcomes and Propensity-Matched Outcomes by Endonasal Versus Transcranial Approach.Neurosurgery · 2023Article
- International Tuberculum Sellae Meningioma Study: Surgical Outcomes and Management Trends.Neurosurgery · 2023Article
- Ipsilateral Visual Loss Caused by Optic Nerve Compression between a Tuberculum Sellae Meningioma and the Internal Carotid Artery.Asian journal of neurosurgery · 2023Article
- Tuberculum Sella Meningioma: Surgical Management and Results with Emphasis on Visual Outcome.Journal of neurosciences in rural practice · 2022Article
- Review
- Gamma Knife radiosurgery for tuberculum sellae meningiomas: a series of 78 consecutive patients.Neurosurgical review · 2022Article
- Sellar, suprasellar, and parasellar masses: Imaging features and neurosurgical approaches.The neuroradiology journal · 2022Article
- Critical appraisal of minimally invasive keyhole surgery for intracranial meningioma in a large case series.PloS one · 2022Article
- Keyhole supraorbital eyebrow approach for fully endoscopic resection of tuberculum sellae meningioma.Frontiers in surgery · 2022Article
- COMPARISON OF TRANSCRANIAL AND TRANSSPHENOIDAL APPROACHES IN INTRA AND SUPRASELLAR PITUITARY ADENOMAS - SYSTEMATIC REVIEW.Acta endocrinologica (Bucharest, Romania : 2005)Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There is controversy regarding the surgical route selection for tuberculum sellae meningiomas (TSMs): the transsphenoidal (TS) or transcranial (TC) approach? We conducted a systematic review and meta-analysis to compare clinical outcomes and postoperative complications between two surgical approaches. Literature search was performed. Relevant articles were selected and evaluated. Data were extracted and analyzed. Eight articles comprising 550 patients met the inclusion criteria. Traditionally, the rates of gross total resection, tumor recurrence, visual improvement, and cerebrospinal fluid leakage were the most common outcomes of interest. We demonstrated that the TS approach was significantly associated with better visual outcomes but more frequent cerebrospinal fluid leakage, while the rates of tumor resection and recurrence showed no significant difference between groups. In addition to surgical results that were consistent with previous studies, we further evaluated the impact of approach selection on common postoperative complications, which were closely related to the recovery course and quality of life. We revealed that the risk of dysosmia was significantly higher in the TS group. There was no significant difference between groups regarding infection, intracranial hemorrhage, and endocrine disorders. Because of the relatively low evidence levels of included retrospective studies, it was difficult to reach a categorical conclusion about the optimal surgical approach for TSMs. Finally, we recommended that the TS approach was an alternative option in patients with smaller TSMs (<30 mm) and limited invasion of optic canals in experienced neurosurgical centers.
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