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Published on: November 16, 2017
Transcavernous sinus pituitary gland transposition: how I do it
Eugenio Cárdenas Ruiz-Valdepeñas1, Ariel Kaen2, Jorge Tirado Caballero2
1Department of Neurological Surgery, Hospital Virgen Del Rocío, Avenida Manuel siurot s/n, 41013, Sevilla, Spain. eugeniocarde@hotmail.com.
Background:
Pituitary transposition preserving gland function is possible when approaching superior clival region tumors. Clinical experience along with detailed anatomical knowledge makes this technique safe and effective.
Method:
We present a step by step description of our technique based on the most recent anatomical references to get a pituitary transposition through the different compartments of the cavernous sinus. By this technique, we achieve minor gland manipulation and a better surgical view of this area. We support this technique with an anatomical analysis on cadaveric specimens and clarifying dissection images.
Conclusions:
Transcavernous sinus pituitary gland transposition is an easily feasible technique and allows gland shifting preserving pituitary function.
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