Endoscopic transnasal surgery for planum and tuberculum sella meningiomas: decision-making, technique and outcomes.
Publication/Presentation Date
10-1-2016
Abstract
Tuberculum sella and planum sphenoidale meningiomas pose a management challenge given their intimate relationship to surrounding critical neurovascular structures. The development and advancement of expanded endoscopic transnasal surgery has provided a good surgical option that in well-selected cases, may provide several advantages over a transcranial route. These include early devascularization, complete dura and bone removal, elimination of brain retraction and enhanced visualization of the optic apparatus perforating vessels. The authors review the endoscopic transnasal approach to these tumors and discuss surgical decision-making and case selection, surgical technique and outcomes. We also discuss the expanding role of stereotactic radiosurgery and fractionated stereotactic radiotherapy for these challenging lesions.
Volume
5
Issue
4
First Page
211
Last Page
222
ISSN
2045-0915
Published In/Presented At
Kshettry, V. R., Elshazly, K., & Evans, J. J. (2016). Endoscopic transnasal surgery for planum and tuberculum sella meningiomas: decision-making, technique and outcomes. CNS oncology, 5(4), 211–222. https://doi.org/10.2217/cns-2016-0007
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
27671322
Department(s)
Administration and Leadership
Document Type
Article