Abstract
The surgeon approaching tumors in the sellar region must contend with a highly congested neurovascular anatomy surrounding the pituitary gland and stalk. In particular, the optic chiasm and nerves, carotid artery and branches, and upper cranial nerves merit meticulous attention. Although the transsphenoidal approach is used to resect the vast majority of sellar lesions and an increasing number of lesions with extrasellar extension, facility with open transcranial approaches is still necessary for safe resection of lesions with particular anatomical characteristics for which endonasal approaches are ill-advised.
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Dunn, I.F. (2016). Transcranial and Skull Base Surgical Approaches to the Sellar and Parasellar Region. In: Zada, G., Lopes, M., Mukundan Jr., S., Laws Jr., E. (eds) Atlas of Sellar and Parasellar Lesions. Springer, Cham. https://doi.org/10.1007/978-3-319-22855-6_6
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DOI: https://doi.org/10.1007/978-3-319-22855-6_6
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