ArticleActa neurochirurgica2022
Expanded endoscopic endonasal approach for the resection of midline craniopharyngiomas with hypothalamic involvement.
Article in Acta neurochirurgica, 2022. 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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3 citing papers in PubMed, 6 citations in OpenAlex.
- Fear of disease recurrence in postoperative craniopharyngioma patients: status, influencing factors, and associations with social support and coping strategies.American journal of cancer research · 2026Article
- Enhanced outcomes in residual or recurrent craniopharyngioma: evaluating combined gamma knife and phosphorus-32 brachytherapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024Article
- Expanded endoscopic endonasal approach for the resection of midline craniopharyngiomas with hypothalamic involvement.Acta neurochirurgica · 2022Article
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Authors and funding
3 authors at 1 institution in 1 country.
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Abstract
backgroundWith relevant surrounding neurological structures and potential involvement of the hypothalamus, the surgical management of craniopharyngiomas is complex. Compared to the transcranial approach, the expanded endoscopic endonasal approach provides direct access to the supradiaphragmatic and retrochiasmatic areas without crossing nerves and arteries.
methodBased on our substantial experience of 68 patients operated on between 2008 and 2022 by endoscopic surgery, our strategy has evolved such that all of our midline infundibular craniopharyngiomas with hypothalamic involvement are currently treated with an expanded endonasal route, except for tumours isolated to the third ventricle. Vascularized mucosal nasoseptal flaps are required for closure. Fine details of the related anatomy and surgical technique are described.
conclusionExpanded endoscopic endonasal approach is a safe and effective route for resection of midline suprasellar craniopharyngiomas with hypothalamic involvement in centres of expertise.
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