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Surgical management of tuberculum sellae meningioma: Transcranial approach or endoscopic endonasal approach?


ABSTRACT:

Background

Tuberculum sellae meningioma (TSM), a common benign tumor in the sellae region, usually causes neurological deficits, such as vision impairment, by squeezing the peripheral neurovascular structures. Surgical management is recommended as the optimal strategy for TSM treatment and vision restoration. However, it remains challenging to resect TSM in the traditional transcranial approach (TCA). Recently, the endoscopic endonasal approach (EEA) has emerged as an effective option in skull base surgeries. Besides the effectivity, the advantages and limitations of EEA in TSM surgery remain controversial.

Object

We compared the surgical outcomes and complications between TCA and EEA surgeries to identify the principles in TSM surgical management.

Methods

Retrospecti

SUBMITTER: Qian K 

PROVIDER: S-EPMC9470762 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature