Although the number of reports concerning the transoral approach to anteriorly placed lesions of the craniocervical junction are increasing, the development of this technique is still in its early stages. The indications and surgical methods vary widely, and there is much room for discussion of the technical details. Eight cases operated on via transoral surgery during the last 4 years are presented in support of the transoral approach to tumors in the craniocervical region.

The introduction of the trans-sphenoidal approach has not only made intrasellar tumours removable, but has proved also to be a safe method for ablation of suprasellar tumour extension. Experiences with 154 suprasellar pituitary adenomas in a series of 278 trans-sphenoidal operations are presented. Results are compared to those in the literature, suggesting that this technique is possible also for higher risk elderly patients.

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After a brief survey of the microsurgical methods for acoustic neurinomas, a case is described in which a successful bilateral operation has been performed. Facial nerve function could be preserved on both sides and on the side of the still functioning ear hearing could also be saved. At 12 months following the operation pure tone and speech hearing were found to be the same as before the operation.

No abstract