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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
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Craniopharyngioma surgery for rhinologists.
Mandy K Salmon1, Rijul S Kshirsagar2, Jacob G Eide3
1Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania.
Current Opinion in Otolaryngology & Head and Neck Surgery
|February 2, 2023
Summary
Rhinologists are crucial in managing craniopharyngiomas, utilizing endoscopic endonasal surgery. This approach offers safe and effective tumor resection with minimal impact on pediatric skull base development.
Area of Science:
- Neurosurgery
- Otolaryngology
- Pediatric Skull Base Surgery
Background:
- Craniopharyngiomas are rare tumors often causing pituitary dysfunction.
- Treatment typically involves surgical resection and radiation therapy.
- Endoscopic transnasal approaches are increasingly utilized for intradural tumors.
Approach:
- This review highlights advancements in pediatric endonasal skull base surgery.
- Investigates concerns regarding sphenoid pneumatization, midfacial growth, and carotid artery proximity.
- Emphasizes improved surgical techniques, reconstruction, and intraoperative monitoring.
Key Points:
- Endonasal techniques do not increase complications related to sphenoid pneumatization.
- Pediatric midfacial growth is unaffected by endonasal surgical techniques.
- Inter-carotid distance stabilizes around age 5, allowing for safe surgical access.
Conclusions:
- Rhinologists play a vital role in craniopharyngioma management.
- The endoscopic endonasal approach facilitates tumor resection.
- Effective reconstruction is key to preventing postsurgical complications.
