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Three-Dimensional Endoscopy for Skull Base Surgery

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Transsphenoidal Surgery

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Abstract

The transsphenoidal approach (TSA) remains the method of choice for resection of pituitary adenomas and the endoscope has advanced pituitary surgery, replacing microscopy as the preferred technique in experienced hands. This approach is associated with a relatively small number of complications, with transient diabetes insipidus being the most common, occurring in less than 5% of patients. Although endoscopic transsphenoidal procedures are most often performed for resection of pituitary adenomas, the indications for transsphenoidal surgery have expanded with the development of extended approaches that involve the anterior skull base (tuberculum sellae and planum sphenoidale), suprasellar area, third ventricle, cavernous sinus, clivus, ventral brainstem, and craniocervical junction.

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Authors and Affiliations

  1. Department of Neurosurgery, Emory University, Atlanta, GA, USA

    Jason K. Chu MD, MSc, Brandon A. Miller MD, PhD & Nelson M. Oyesiku MD, PhD, FACS

Authors
  1. Jason K. Chu MD, MSc
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  2. Brandon A. Miller MD, PhD
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  3. Nelson M. Oyesiku MD, PhD, FACS
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Corresponding author

Correspondence to Nelson M. Oyesiku MD, PhD, FACS .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Harvard Medical School Brigham and Women’s Hospital, Boston, MA, USA

    Edward R. Laws, Jr

  2. Department of Neurosurgery, Indianapolis Methodist Hospital, Indianapolis, IN, USA

    Aaron A. Cohen-Gadol

  3. Department of Neurosurgery, Weill Cornell Medical College New York Presbyterian Hospital, New York, NY, USA

    Theodore H. Schwartz

  4. Department of Neurological Surgery, University of Virginia, Charlottesville, VA, USA

    Jason P. Sheehan

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Chu, J.K., Miller, B.A., Oyesiku, N.M. (2017). Three-Dimensional Endoscopy for Skull Base Surgery. In: Laws, Jr, E.R., Cohen-Gadol, A.A., Schwartz, T.H., Sheehan, J.P. (eds) Transsphenoidal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-56691-7_14

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  • DOI: https://doi.org/10.1007/978-3-319-56691-7_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-56689-4

  • Online ISBN: 978-3-319-56691-7

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