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Endoscopic endonasal removal of Tuberculum Sellae Meningioma
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The decision-making process to choose the best surgical approach.
Keywords
- Preoperative study
- tumor features
- surgeons
- anatomy
- transcranial endonasal
Conflict of Interest
None.
About this video
- Author(s)
- Domenico Solari
- Ilaria Bove
- Manuel Colangelo
- Luigi Maria Cavallo
- First online
- 27 February 2024
- DOI
- https://doi.org/10.1007/978-3-031-51235-3_2
- Online ISBN
- 978-3-031-51235-3
- Publisher
- Springer, Cham
- Copyright information
- © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2024
Video Transcript
So the main question is, what should we do in the nasal transcranial? Several papers and different series underlying the visual results for endoscopic endonasal surgery in this area may be better. But this is not the only region we would like to do this to more intensely.
We can do it without manipulation of the optic apparatus and brain. We have the possibility of 217-degree early decompression of the optic canal, early devascularization of the tumor, better visualization and preservation of the superior hypophyseal artery and anterior cerebral arteries. In the same time, the main disadvantages are presented by the increased risk of CSF fistula, and in particular, the inadequate vessel control in case of injury.