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Transsphenoidal approach anatomic

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https://www.readbyqxmd.com/read/27903115/aggressive-surgery-based-on-an-anatomical-subclassification-of-craniopharyngiomas
#1
Hiroki Morisako, Takeo Goto, Hiroyuki Goto, Christian Aisse Bohoun, Samantha Tamrakar, Kenji Ohata
OBJECTIVE Craniopharyngiomas remain a particularly formidable challenge in the neurosurgical field. Because these lesions involve the hypothalamus and ophthalmological systems, their resection is associated with either higher rates of mortality and recurrence or a lower rate of radical resection. The authors report the outcomes of aggressive surgeries based on an anatomical subclassification of craniopharyngiomas. METHODS Clinical and ophthalmological examinations, imaging studies, endocrinological studies, neuropsychological function, and surgical complications in all patients who had undergone microsurgical resection for craniopharyngioma at Osaka City University hospital between January 2000 and December 2014 were retrospectively reviewed through the medical records...
December 2016: Neurosurgical Focus
https://www.readbyqxmd.com/read/27857875/dual-endoscopic-endonasal-transsphenoidal-and-precaruncular-transorbital-approaches-for-clipping-of-the-cavernous-carotid-artery-a-cadaveric-simulation
#2
Jeremy Ciporen, Brandon Lucke-Wold, Aclan Dogan, Justin S Cetas, William E Cameron
Background Endoscopic skull base approaches are being used to address complicated neurovascular pathology. These approaches are safest when proximal vascular control of the cavernous carotid artery (CavCA) can be obtained. Methods We present a cadaver-based anatomic simulation study showing the feasibility of clip placement for the CavCA as it courses through the cavernous sinus. The arterial vessels were injected with red microfil (Flow Tech, Carver, Massachusetts) to enhance visibility. The endoscope was directed through a precaruncular transorbital approach and instrumentation was managed through an endonasal transsphenoidal approach...
December 2016: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/27500775/-endoscopic-transsphenoidal-resection-of-pituitary-adenomas-invading-the-cavernous-sinus
#3
P L Kalinin, O I Sharipov, I N Pronin, M A Kutin, D V Fomichev, B A Kadashev, A N Shkarubo, S N Alekseev, L I Astaf'eva, O F Tropinskaya, G F Dobrovol'sky, E I Shul'ts, D N Andreev, I A Voronina, A B Kurnosov
INTRODUCTION: Pituitary adenomas are benign growths that invade the cavernous sinus (CS) in 10-15% of cases. There are different types of microsurgical and endoscopic approaches enabling resection of tumors from the CS cavity that is a relatively small and hard to reach anatomical structure comprising eloquent neurovascular structures. MATERIAL AND METHODS: A study group included 97 patients with pituitary adenomas (PAs) invading the CS. PAs were resected using an endoscopic technique: adenomas were resected from the CS cavity through a standard endoscopic endonasal transsphenoidal approach in 62 cases; a lateral extended transsphenoidal endoscopic approach was used in 35 cases...
2016: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/27431342/transalar-transsphenoidal-meningoencephalocele-presenting-in-the-form-of-recurrent-meningitis-report-of-two-cases-and-discussion-of-the-diagnosis-and-treatment
#4
A Zoghlami, N Bon Mardion, F Callonnec, D Dehesdin, F Proust, J-P Marie
INTRODUCTION: Skull base meningoencephaloceles are rare congenital malformations. The two cases of transalar transsphenoidal malformation reported here differ from the classical transsphenoidal meningoencephalocele. CASE REPORTS: Case 1 was a three-and-a-half-year-old boy and case 2 was a 36-year-old man. Both cases presented with clinical features of recurrent meningitis. Surgical management of case 1 was performed via an intradural infratemporal fossa craniotomy with reoperation 2years later...
December 2016: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/27168320/primary-lymphomas-of-the-skull-base-from-a-neurosurgical-perspective-review-of-the-literature-and-personal-experience
#5
Alessandro Pesce, Michele Acqui, Marco Cimatti, Riccardo Caruso, Venceslao Wierzbicki, Antonino Raco
Primary lymphomas of the skull base are exceedingly rare and thus not commonly dealt with in everyday clinical practice. Primary diffuse large B cell lymphoma is the most commonly found (30-40% of primary non-Hodgkin lymphomas of the bone). This article reports a case of primary lymphoma of the skull base and reviews all the relevant literature in the PubMed, National Institutes of Health Library, and Google Scholar databases to outline the clinical, diagnostic, and surgical traits of this yet widely unexplored pathology...
May 11, 2016: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/27101471/critical-analysis-of-anatomical-landmarks-within-the-sphenoid-sinus-for-transsphenoidal-surgery
#6
Yahya Ahmadipour, Elias Lemonas, Homajoun Maslehaty, Sophia Goericke, Boris A Stuck, Nicolai El Hindy, Ulrich Sure, Oliver Mueller
The transsphenoidal approach to the sellar region has been introduced more than a 100 years ago. It is the accepted standard operative corridor to pathologies of the pituitary gland and surrounding structures. There are anatomical landmarks within the sphenoid sinus that are used for orientation directing to the sella floor or the cavernous sinus. Yet, little data can be found on the consistency of these landmarks. It is the aim of this study to evaluate the reliability of these anatomical landmarks for the surgeon's orientation...
April 21, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27070254/-the-use-of-intraoperative-doppler-ultrasound-in-endoscopic-transsphenoidal-surgery
#7
O I Sharipov, M A Kutin, P L Kalinin, D V Fomichev, V A Lukshin, A B Kurnosov
INTRODUCTION: Doppler ultrasound (DUS) has been widely used in neurosurgical practice to diagnose various cerebrovascular diseases. This technique is used in transsphenoidal surgery to identify the localization of intracranial arteries when making an approach or during tumor resection. MATERIAL AND METHODS: To identify the cavernous segment of the internal carotid artery (ICA) and/or basilar artery during endoscopic transsphenoidal surgery, we used a combined device on the basis of a click line curette («Karl Storz») and a 16 MHz Doppler probe (Lassamed)...
2016: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/26991390/endosphenoidal-coil-for-intraoperative-magnetic-resonance-imaging-of-the-pituitary-gland-during-transsphenoidal-surgery
#8
Prashant Chittiboina, S Lalith Talagala, Hellmut Merkle, Joelle E Sarlls, Blake K Montgomery, Martin G Piazza, Gretchen Scott, Abhik Ray-Chaudhury, Russell R Lonser, Edward H Oldfield, Alan P Koretsky, John A Butman
OBJECTIVE Pituitary MR imaging fails to detect over 50% of microadenomas in Cushing's disease and nearly 80% of cases of dural microinvasion. Surface coils can generate exceptionally high-resolution images of the immediately adjacent tissues. To improve imaging of the pituitary gland, a receive-only surface coil that can be placed within the sphenoid sinus (the endosphenoidal coil [ESC]) during transsphenoidal surgery (TSS) was developed and assessed. METHODS Five cadaver heads were used for preclinical testing of the ESC...
December 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/26932956/anatomic-changes-caused-by-endoscopic-endonasal-transsphenoidal-surgery-and-their-effects-on-nasal-functions
#9
Do Hyun Kim, Yong-Kil Hong, Sin-Soo Jeun, Yong Jin Park, Soo Whan Kim, Jin Hee Cho, Boo Young Kim, Sungwoo Han, Young Hoon Jung, Yong Joo Lee, Sung Won Kim
OBJECTIVE: We evaluated postoperative changes in nasal cavity dimensions and their effects on nasal functions and symptoms. STUDY DESIGN: Case series with chart review. SETTING: Tertiary referral center. SUBJECTS AND METHODS: We studied patients who underwent binostril, 4-hand endoscopic endonasal transsphenoidal approach surgery with the bilateral modified nasoseptal rescue flap technique. Pre- and postoperative paranasal computed tomography scans were used to assess nasal cavity dimensional changes at 4 levels...
June 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/26679957/morphometric-analysis-of-the-medial-opticocarotid-recess-and-its-anatomical-relations-relevant-to-the-transsphenoidal-endoscopic-endonasal-approaches
#10
Cristian Ferrareze Nunes, Daniel Monte-Serrat Prevedello, Ricardo Luis Carrau, Clóvis Orlando Pereira da Fonseca, José Alberto Landeiro
BACKGROUND: The medial opticocarotid recess (MOCR) is located in the posterior wall of the sphenoid sinus, medial to the junction of the optic canal (OC) and the carotid prominence (CP). There is controversy in the literature in relation to the presence of the MOCR and its constancy, which is relevant when approaching the skull base through an endoscopic route. METHODS: The morphometric relations of the MOCR with the surrounding structures were studied in 18 cadaveric specimens after endoscopic endonasal approach (EEA)...
February 2016: Acta Neurochirurgica
https://www.readbyqxmd.com/read/26658152/vascular-complications-of-intercavernous-sinuses-during-transsphenoidal-surgery-an-anatomical-analysis-based-on-autopsy-and-magnetic-resonance-venography
#11
Xuefei Deng, Shijun Chen, Ya Bai, Wen Song, Yongchao Chen, Dongxue Li, Hui Han, Bin Liu
PURPOSE: Vascular complications induced by intercavernous sinus injury during dural opening in the transsphenoidal surgery may contribute to incomplete tumour resections. Preoperative neuro-imaging is of crucial importance in planning surgical approach. The aim of this study is to correlate the microanatomy of intercavernous sinuses with its contrast-enhanced magnetic resonance venography (CE-MRV). METHODS: Eighteen human adult cadavers and 24 patients were examined based on autopsy and CE-MRV...
2015: PloS One
https://www.readbyqxmd.com/read/26355981/location-of-pterygopalatine-fossa-and-its-relationships-to-the-structures-in-sellar-region
#12
Ye Cheng, Haiyang Xu, Yong Chen, Songbai Xu, Hongquan Yu, Siwen Zhang, Yan Feng, Gang Zhao
PURPOSE: The aim of this study is to locate pterygopalatine fossa (PPF) and the opening of its communicating canals by accessing the relationship between PFF and the endoscopic landmarks such as the tubercular recess (TR) and middle lowest point of sellar floor (SF) as well as analyze the relation between PPF and important structures such as internal carotid artery (ICA) and optic canal (OC). MATERIALS AND METHODS: Computer topographic angiography (CTA) images of 118 PPF regions were reviewed...
September 2015: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/26339851/endonasal-endoscopic-transsphenoidal-chiasmapexy-using-a-clival-cranial-base-cranioplasty-for-visual-loss-from-massive-empty-sella-following-macroprolactinoma-treatment-with-bromocriptine-case-report
#13
G Rene Alvarez Berastegui, Shaan M Raza, Vijay K Anand, Theodore H Schwartz
Visual deterioration after dopamine-agonist treatment of prolactinomas associated with empty sella syndrome and secondary optic apparatus traction is a rare event. Chiasmapexy has been described as a viable treatment option, although few cases exist in the literature. Here, a novel endonasal endoscopic approach to chiasmapexy is described and its efficacy is demonstrated in a case report. A 55-year-old female patient with a history of a giant prolactinoma and 14 years of treatment using dopaminergic agonist therapy presented to our institution with a 1-month history of visual changes...
April 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/26338198/repair-and-prevention-of-cerebrospinal-fluid-leakage-in-transsphenoidal-surgery-a-sphenoid-sinus-mucosa-technique
#14
Kosaku Amano, Tomokatsu Hori, Takakazu Kawamata, Yoshikazu Okada
Cerebrospinal fluid (CSF) leakage is a common but sometimes serious complication after transsphenoidal surgery (TSS). To avoid this postsurgical complication, we usually repair the CSF leaking area using an autologous material, such as fat, fascia, or muscle graft and sometimes nasonasal septal flap. In this report, we propose a technique using a novel autologous material, sphenoid sinus mucosa (SSM), to repair intraoperative CSF leakage or prevent it postoperatively. On 26 February 2007, we introduced the technique of using SSM to repair or prevent CSF leakage in TSS...
January 2016: Neurosurgical Review
https://www.readbyqxmd.com/read/26306875/interactive-3d-pdf-presentations-for-the-simulation-and-quantification-of-extended-endoscopic-endonasal-surgical-approaches
#15
Marija Mavar-Haramija, Alberto Prats-Galino, Juan A Juanes Méndez, Anna Puigdelívoll-Sánchez, Matteo de Notaris
A three-dimensional (3D) model of the skull base was reconstructed from the pre- and post-dissection head CT images and embedded in a Portable Document Format (PDF) file, which can be opened by freely available software and used offline. The CT images were segmented using a specific 3D software platform for biomedical data, and the resulting 3D geometrical models of anatomical structures were used for dual purpose: to simulate the extended endoscopic endonasal transsphenoidal approaches and to perform the quantitative analysis of the procedures...
October 2015: Journal of Medical Systems
https://www.readbyqxmd.com/read/26242338/a-haptic-guided-robotic-system-for-endoscope-positioning-and-holding
#16
Burak Cabuk, Savas Ceylan, Ihsan Anik, Mehtap Tugasaygi, Selcuk Kizir
AIM: To determine the feasibility, advantages, and disadvantages of using a robot for holding and maneuvering the endoscope in transnasal transsphenoidal surgery. MATERIAL AND METHODS: The system used in this study was a Stewart Platform based robotic system that was developed by Kocaeli University Department of Mechatronics Engineering for positioning and holding of endoscope. After the first use on an artificial head model, the system was used on six fresh postmortem bodies that were provided by the Morgue Specialization Department of the Forensic Medicine Institute (Istanbul, Turkey)...
2015: Turkish Neurosurgery
https://www.readbyqxmd.com/read/26236809/endoscopic-endonasal-surgical-approach-to-the-oculomotor-trigone-from-the-cavernous-sinus
#17
Naoki Wakuta, Tetsuya Ueba, Hiroshi Abe, Tooru Inoue, Manfred Tschabitscher
Knowledge of anatomy visualized endoscopically is necessary to perform endoscopic surgical procedures safely. The cavernous sinuses are complicated structures with major blood vessels and nerves seated deeply in the center of the skull base. Anatomical orientation during surgery is essential for deep and narrow skull base surgery. While performing surgery involving the cavernous sinuses, understanding of the structures identifiable via a transsphenoidal view can allow comprehension of the relationship between a lesion and the surrounding structures, thus preventing intraoperative complications...
2014: Neurologia Medico-chirurgica
https://www.readbyqxmd.com/read/26221856/morphological-characteristics-of-the-sphenoid-sinus-and-endoscopic-localization-of-the-cavernous-sinus
#18
Youxiong Yang, Guowen Zhan, Jianchun Liao, Ruishan Dang, Hongli Wang, Yang Li, Xiaote Zhang
The aim of this study was to investigate the relationship between the morphological characteristics of the sphenoid sinus and endoscopic localization of the cavernous sinus (CS) using an extended endoscopic endonasal transsphenoidal approach. Thirty sides of CS in 15 adult cadaver heads were dissected to simulate the extended endoscopic endonasal transsphenoidal approach, and the morphology of the sphenoid sinus and anatomic structures of CS were observed. The opticocarotid recess (OCR), ophthalmomaxillary recess (V1V2R), and maxillomandibular recess (V2V3R) in the lateral wall of the sphenoid sinus were presented in 16 sides (53...
September 2015: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/26131095/anatomy-and-ct-reconstruction-of-the-anterior-area-of-sphenoid-sinus
#19
Shousen Wang, Jinchao Zhang, Liang Xue, Liangfeng Wei, Zhiyu Xi, Rumi Wang
BACKGROUND: The anatomical structures of anterior area of sphenoid sinus are observed by CT reconstruction of radiographic images in some studies. However, the detailed anatomic information of the extended transsphenoidal approach is still incomplete. METHOD: Fifteen cases (30 sides) of adult cadaveric skulls and 20 cases (40 sides) of bleached adult dry skulls were observed and measured under microscope. CT imaging data were obtained from 12 patients. RESULTS: Anatomy of anterior area of sphenoid sinus and sphenopalatine artery observed from CT three-dimensional reconstructed images was consistent with that observed from adult cadaveric skulls and bleached adult dry skulls...
2015: International Journal of Clinical and Experimental Medicine
https://www.readbyqxmd.com/read/26046941/transsphenoidal-approach-in-endoscopic-endonasal-surgery-for-skull-base-lesions-what-radiologists-and-surgeons-need-to-know
#20
REVIEW
Elena García-Garrigós, Juan José Arenas-Jiménez, Irene Monjas-Cánovas, Javier Abarca-Olivas, Jesús Julián Cortés-Vela, Javier De La Hoz-Rosa, Maria Dolores Guirau-Rubio
In the last 2 decades, endoscopic endonasal transsphenoidal surgery has become the most popular choice of neurosurgeons and otolaryngologists to treat lesions of the skull base, with minimal invasiveness, lower incidence of complications, and lower morbidity and mortality rates compared with traditional approaches. The transsphenoidal route is the surgical approach of choice for most sellar tumors because of the relationship of the sphenoid bone to the nasal cavity below and the pituitary gland above. More recently, extended approaches have expanded the indications for transsphenoidal surgery by using different corridors leading to specific target areas, from the crista galli to the spinomedullary junction...
July 2015: Radiographics: a Review Publication of the Radiological Society of North America, Inc
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