Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Sellar reconstruction: is it necessary?

Robert E Sonnenburg1, David White, Matthew G Ewend

  • 1Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina 27599-7070, USA.

American Journal of Rhinology
|January 31, 2004
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Outpatient paracentesis for Ovarian Hyperstimulation Syndrome: STOP-OHSS feasibility study and RCT Synopsis.

Health technology assessment (Winchester, England)·2026
Same author

Predictors of burnout among academic family medicine faculty: Looking back to plan forward.

PloS one·2026
Same author

Recurring marine phosphorus spikes during major palaeozoic mass extinctions and climate change.

Nature communications·2026
Same author

Determining the Minimal Clinically Important Difference of the 40-Item Smell Identification Test in People With Cystic Fibrosis.

International forum of allergy & rhinology·2026
Same author

Views on outpatient paracentesis and GnRH antagonists for ovarian hyperstimulation syndrome: a qualitative study of patients and healthcare professionals.

Health technology assessment (Winchester, England)·2026
Same author

Removal of small fibroids and polyps in patients with infertility and recurrent miscarriage: The HELP Fertility? RCT.

Health technology assessment (Winchester, England)·2026
Same journal

The effect of nasal surgery on snoring.

American journal of rhinology·2009
Same journal

Results of endoscopic maxillary mega-antrostomy in recalcitrant maxillary sinusitis.

American journal of rhinology·2009
Same journal

Comparison of laryngeal mask with endotracheal tube for anesthesia in endoscopic sinus surgery.

American journal of rhinology·2009
Same journal

Analysis of transnasal endoscopic versus transseptal microscopic approach for excision of pituitary tumors.

American journal of rhinology·2009
Same journal

Construct validation of a low-fidelity endoscopic sinus surgery simulator.

American journal of rhinology·2009
Same journal

Combined image guidance and intraoperative computed tomography in facilitating endoscopic orientation within and around the paranasal sinuses.

American journal of rhinology·2009
See all related articles

Sellar reconstruction is unnecessary in transsphenoidal pituitary surgery without cerebrospinal fluid (CSF) leaks. Omitting this step avoids donor site complications and does not increase postoperative issues, improving patient outcomes.

Area of Science:

  • Neurosurgery
  • Endocrinology
  • Oncology

Background:

  • Sellar reconstruction is a standard practice in transsphenoidal pituitary tumor surgery.
  • This procedure carries risks of donor site complications and can hinder accurate postoperative tumor assessment.
  • Its necessity is questioned, especially when no intraoperative cerebrospinal fluid (CSF) leak occurs.

Purpose of the Study:

  • To evaluate the necessity of sellar reconstruction in transsphenoidal pituitary surgery.
  • To determine if omitting sellar reconstruction impacts postoperative complication rates in the absence of CSF leaks.

Main Methods:

  • Retrospective review of 45 minimally invasive pituitary surgery cases.
  • Analysis of 28 cases where sellar reconstruction was not performed.

Related Experiment Videos

  • Investigation of various postoperative outcomes including CSF leak, meningitis, and length of stay.

    • Main Results:

    • Low complication rates observed in the non-reconstruction group.
    • Only one case of postoperative CSF leak requiring lumbar drainage.
    • No instances of empty sella syndrome or meningitis were reported.
    • Average hospital stay was 2.9 days.

    Conclusions:

    • Sellar reconstruction is not essential for transsphenoidal pituitary tumor resection when no intraoperative CSF leak is present.
    • Eliminating this step reduces donor site risks without increasing postoperative complications.
    • This approach offers a potentially safer and more efficient surgical option.