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Updated: May 30, 2026
07:43
Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Tuberculum sella meningioma.
Caroline Hayhurst1, Charles Teo
1The Centre for Minimally Invasive Neurosurgery, Suite 3, Level 7, Prince of Wales Private Hospital, Randwick, NSW 2031, Australia.
Otolaryngologic Clinics of North America
|August 9, 2011
Summary
Tuberculum sellae meningiomas often cause early vision loss. Minimally invasive endoscopic endonasal and supraorbital eyebrow craniotomy approaches offer effective treatment options for these anterior cranial fossa tumors.
Area of Science:
- Neurosurgery
- Oncology
- Ophthalmology
Background:
- Tuberculum sellae (TS) meningiomas are a specific type of anterior cranial fossa tumor.
- Their location near the optic canals can lead to rapid visual deterioration.
- Minimally invasive surgical techniques are increasingly explored for their treatment.
Purpose of the Study:
- To review and compare minimally invasive approaches for TS meningiomas.
- To define visual outcomes, resection extent, and operative morbidity for each technique.
- To identify tumor characteristics that guide surgical approach selection.
Main Methods:
- Literature review of current minimally invasive techniques for TS meningiomas.
- Analysis of visual outcomes, extent of resection, and operative morbidity.
- Correlation of tumor features with surgical approach suitability.
Main Results:
- Both expanded endonasal transsphenoidal and eyebrow supraorbital craniotomy approaches are effective.
- Specific tumor features may favor one approach over the other for optimal results.
- Data on visual outcomes, resection rates, and complications were analyzed across studies.
Conclusions:
- Minimally invasive techniques provide viable options for tuberculum sellae meningiomas.
- Tailoring the surgical approach based on tumor characteristics is crucial for maximizing outcomes.
- Further research can refine the selection criteria for these approaches.
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