Customized ventral bony and dural opening in the transplanum/transtuberculum and transclival variants of extended endoscopic endonasal approach to suprasellar craniopharyngiomas: an approach-based stepwise cadaveric dissection and clinical applicability

被引：2

作者：

Khaleghi, Mehdi ^{[1
]}

Otto, Bradly ^{[2
]}

Carrau, Ricardo ^{[2
]}

Prevedello, Daniel M. ^{[1
]}

机构：

[1] Ohio State Univ, Wexner Med Ctr, Dept Neurosurg, Columbus, OH 43210 USA

[2] Ohio State Univ, Wexner Med Ctr, Dept Otolaryngol Head & Neck Surg, Columbus, OH USA

来源：

ACTA NEUROCHIRURGICA | 2024年 / 166卷 / 01期

关键词：

Suprasellar craniopharyngiomas; Extended endoscopic endonasal approach; Transplanum/transtuberculum approach; Transclival approach; Perforating artery; Optic chiasm; Pituitary stalk; Interpeduncular cistern; RESECTION;

D O I：

10.1007/s00701-024-06015-z

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BackgroundOptimal initial exposure through an extended endoscopic endonasal approach (EEA) for suprasellar craniopharyngiomas ensures safe and unrestricted surgical access while avoiding overexposure, which may prolong the procedure and increase neurovascular adverse events.MethodHere, the authors outline the surgical nuances of a customized bony and dural opening through the transplanum/transtuberculum and transclival variants of the extended EEA to suprasellar craniopharyngiomas based on the tumor-pituitary stalk relationship. A stepwise cadaveric dissection and intraoperative photographs relevant to the approaches are also provided.ConclusionSafe maximal resection of suprasellar craniopharyngiomas through extended EEAs can be feasibly and safely achieved by implementing of tailored ventral exposure.

引用

页数：9