Strategy of skull base reconstruction after endoscopic transnasal pituitary adenoma resection.

ABSTRACT:

Objective

Endoscopic endonasal surgery (EES) is commonly performed for resection of lesions of the anterior/middle cranial fossa region. Cerebrospinal fluid (CSF) leakage is a major complication. Skull base reconstruction after EES is challenging. We describe our reconstruction strategy and technique and analyze its outcomes.

Methods

We retrospectively analyzed 703 patients with pituitary adenoma who underwent EES in our center from January 2020 to August 2022. Clinical, imaging, operative, and pathologic data were recorded from the medical records and analyzed. Skull base reconstruction was performed to achieve the following three goals: seal the original leak, eliminate dead space, provide blood supply, and early ambulation. Reconstruction was tailored to individual patien

SUBMITTER: Zhang C 

PROVIDER: S-EPMC10043245 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature