Keyhole Superior Interhemispheric Transfalcine Approach for Tuberculum Sellae Meningioma: Technical Nuances and Visual Outcomes

Wong, Andrew K.; Kramer, Dallas E.; Wong, Ricky H.

doi:10.1016/j.wneu.2020.08.222

Cited by 3 publications

(3 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The anterior interhemispheric approach (AHA) presents the main advantage of enabling a symmetrical view and control of optic apparatus, ICAs and their terminal, and distal collateral branches without extensive retraction [ 75 , 76 ]. Furthermore, its trajectory is directly along the dorsum and diaphragm sellae, thus allowing for the direct oversight of tumor posteroinferior extension.…”

Section: Discussionmentioning

confidence: 99%

Midline Skull Base Meningiomas: Transcranial and Endonasal Perspectives

Mastantuoni

Cavallo

Esposito

et al. 2022

Cancers

View full text Add to dashboard Cite

Skull base meningiomas have always represented a challenge for neurosurgeons. Despite their histological nature, they may be associated with unfavorable outcomes due to their deep-seated location and the surrounding neurovascular structures. The state of the art of skull base meningiomas accounts for both transcranial, or high, and endonasal, or low, routes. A comprehensive review of the pertinent literature was performed to address the surgical strategies and outcomes of skull base meningioma patients treated through a transcranial approach, an endoscopic endonasal approach (EEA), or both. Three databases (PubMed, Ovid Medline, and Ovid Embase) have been searched. The review of the literature provided 328 papers reporting the surgical, oncological, and clinical results of different approaches for the treatment of skull base meningiomas. The most suitable surgical corridors for olfactory groove, tuberculum sellae, clival and petroclival and cavernous sinus meningiomas have been analyzed. The EEA was proven to be associated with a lower extent of resection rates and better clinical outcomes compared with transcranial corridors, offering the possibility of achieving the so-called maximal safe resection.

show abstract

Section: Discussionmentioning

confidence: 99%

Midline Skull Base Meningiomas: Transcranial and Endonasal Perspectives

Mastantuoni

Cavallo

Esposito

et al. 2022

Cancers

View full text Add to dashboard Cite

show abstract

“…Within the last decade, keyhole approaches have risen in popularity [26]. Bilateral approaches include bifrontal and subfrontal craniotomies [13,14]. Transcranial approaches are typically performed in anterior or anterolateral corridors and are preferred for large tumors, those with extrasellar extension, and fibrous or indurated tumors [1].…”

Section: Current Treatment Paradigmmentioning

confidence: 99%

“…The approach is versatile, but it is mainly used for midline tumors. Access to compartments laterally beyond the optic nerves, cranial nerves, and surrounding vasculature can be limited [14,31]. There is a risk of cerebrospinal fluid leak-reports state it is as high as 30%, and a cerebrospinal fluid fistula can occur [13,28].…”

Section: Transsphenoidal Endoscopic Endonasal Approachmentioning

confidence: 99%

History, Current Techniques, and Future Prospects of Surgery to the Sellar and Parasellar Region

Rawanduzy

Couldwell

2023

Cancers

View full text Add to dashboard Cite

The sellar and parasellar region can be affected by diverse pathologies. The deep-seated location and surrounding critical neurovascular structures make treatment challenging; there is no singular, optimal approach for management. The history and development of transcranial and transsphenoidal approaches by pioneers in skull base surgery were largely aimed at treating pituitary adenomas, which are the most common lesions of the sella. This review explores the history of sellar surgery, the most commonly used approaches today, and future considerations for surgery of the sellar/parasellar region.

show abstract