Download PDF
J Neurol Surg A Cent Eur Neurosurg 2014; 75(02): 158-160
DOI: 10.1055/s-0032-1331387
Technical Note
Georg Thieme Verlag KG Stuttgart · New York

A Useful Maneuver to Simplify Sellar Floor Repair Following Endoscopic Transnasal Pituitary Surgery

Aldo Iannelli
1   Unit of Neurosurgery, Department of Neuroscience, University of Pisa, Pisa, Italy
,
Riccardo Lenzi
2   Unit of Otorhinolaryngology, Department of Neuroscience, University of Pisa, Pisa, Italy
,
Luca Muscatello
2   Unit of Otorhinolaryngology, Department of Neuroscience, University of Pisa, Pisa, Italy
› Author Affiliations
Further Information

Publication History

14 June 2011

02 March 2012

Publication Date:
10 January 2013 (online)

    Permissions and Reprints

Abstract

The watertight closure of the skull base after endonasal surgery is and has always been critical in cranial base surgery. Nowadays, endoscopic transsphenoidal surgery is the standard of treatment for most of the sellar tumors. Reconstruction of the sella is not always deemed necessary, and generally it is reserved for patients with macroadenomas or with intraoperative evidence of cerebrospinal fluid leak. We herein report our experience with a simple maneuver that, in our opinion, simplifies sellar floor reconstruction.

Keywords

endoscopy - pituitary adenoma - transsphenoidal approach - sellar floor reconstruction.
 

  • References

  • 1 Cappabianca P, Cavallo LM, Esposito F, Valente V, De Divitiis E. Sellar repair in endoscopic endonasal transsphenoidal surgery: results of 170 cases. Neurosurgery 2002; 51 (6) 1365-1371 , discussion 1371–1372
    CrossrefPubMedGoogle Scholar
  • 2 Cavallo LM, Dal Fabbro M, Jalalod'din H , et al. Endoscopic endonasal transsphenoidal surgery. Before scrubbing in: tips and tricks. Surg Neurol 2007; 67 (4) 342-347
    CrossrefPubMedGoogle Scholar
  • 3 Senior BA, Ebert CS, Bednarski KK , et al. Minimally invasive pituitary surgery. Laryngoscope 2008; 118 (10) 1842-1855
    CrossrefPubMedGoogle Scholar
  • 4 Seda L, Camara RB, Cukiert A, Burattini JA, Mariani PP. Sellar floor reconstruction after transsphenoidal surgery using fibrin glue without grafting or implants: technical note. Surg Neurol 2006; 66 (1) 46-49 , discussion 49
    CrossrefPubMedGoogle Scholar
  • 5 Locatelli D, Vitali M, Custodi VM, Scagnelli P, Castelnuovo P, Canevari FR. Endonasal approaches to the sellar and parasellar regions: closure techniques using biomaterials. Acta Neurochir (Wien) 2009; 151 (11) 1431-1437
    CrossrefPubMedGoogle Scholar
  • 6 Komotar RJ, Starke RM, Raper DM, Anand VK, Schwartz TH. Endoscopic endonasal compared with microscopic transsphenoidal and open transcranial resection of giant pituitary adenomas. Pituitary 2012; 15 (2) 150-159
    CrossrefPubMedGoogle Scholar
  • 7 Patel MR, Stadler ME, Snyderman CH , et al. How to choose? Endoscopic skull base reconstructive options and limitations. Skull Base 2010; 20 (6) 397-404
    Article in Thieme ConnectPubMedGoogle Scholar
  • 8 Rivera-Serrano CM, Snyderman CH, Gardner P , et al. Nasoseptal “rescue” flap: a novel modification of the nasoseptal flap technique for pituitary surgery. Laryngoscope 2011; 121 (5) 990-993
    CrossrefPubMedGoogle Scholar