ArticleActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale2021
Sellar and parasellar lesions: multidisciplinary management.
Article in Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed.
- Safety of Withholding Perioperative Hydrocortisone for Patients With Pituitary Adenomas With an Intact Hypothalamus-Pituitary-Adrenal Axis: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Modulatory Effects of Bioactive Phytoconstituents on the Amplitude and Gating Properties of Membrane Ion Channels.Molecules (Basel, Switzerland) · 2026Review
- Organization and resource utilization of specialized neurosurgical care for chiasmatic-sellar tumors in a metropolitan health system: a hospital-based study from Kazakhstan.Frontiers in health services · 2026Article
- An atypical visual presentation in a setting of a critically thinned optic nerve compressed between a Rathke's cleft cyst and anterior cerebral artery: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Biological effective dose as a predictor of local tumor control in stereotactic radiosurgery treated parasellar meningioma patients.Journal of neuro-oncology · 2024Article
- The Impact of Surgical Telementoring on Reducing the Complication Rate in Endoscopic Endonasal Surgery of the Skull Base.Diagnostics (Basel, Switzerland) · 2024Article
- Anatomical variations of foramen of the diaphragma sellae and neighboring structures: a cadaveric study.Anatomical science international · 2024Article
- Sellar Schwannoma Masquerading as Giant Pituitary Adenoma: A Diagnostic Challenge.Case reports in surgery · 2024Article
- Anatomical Step-by-Step Dissection of Complex Skull Base Approaches for Trainees: Surgical Anatomy of the Endoscopic Endonasal Approach to the Sellar and Parasellar Regions.Journal of neurological surgery. Part B, Skull base · 2023Article
- History, Current Techniques, and Future Prospects of Surgery to the Sellar and Parasellar Region.Cancers · 2023Review
- Endoscopic Endonasal Surgery for Uncommon Pathologies of the Sellar and Parasellar Regions.Advances and technical standards in neurosurgery · 2023Review
- Current Advances in the Management of Adult Craniopharyngiomas.Current oncology (Toronto, Ont.) · 2022Review
- The use of three-dimensional endoscope in transnasal skull base surgery: A single-center experience from China.Frontiers in surgery · 2022Article
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6 authors.
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Abstract
introductionThe endoscopic endonasal transsphenoidal approach to the sella and parasellar regions is now increasingly used for removal of a variety of lesions localized in the ventral skull base. The advantage of the endoscope is enhanced visualization and improved panoramic view that can result in more complete removal of the tumor. An extensive knowledge of the anatomy is mandatory to approach this region. MATERIALS AND
methodsFrom February 2009 to March 2020, the endoscopic endonasal approach was used in 153 patients with sellar and parasellar lesions, at our Institution: 136 pituitary adenomas, 7 craniopharyngiomas, 3 Rathke's cysts, a tuberculum sellae meningioma, an aneurysm of the internal carotid artery (ICA), a clivus chordoma, a papillary glioneuronal tumor, an histiocytosis, a pituitary metastasis from breast cancer and a chondrosarcoma.
resultsThe most common surgical complications were cerebral spinal fluid leak (9), bleeding (2), pituitary abscess (2). Among endocrinological complications, the most important were diabete insipidus (23) and panhypopituitarism (3). Two patients complicated with meningitis. There were no visual worsening and no operative mortality. We had persistence of disease in 20 cases. Twelve patients underwent surgical revision for recurrence of the disease.
conclusionsPre-operative planning and collaboration with several specialists are necessary in order to offer the patient the best treatment, minimizing complications.
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