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Variations on the Standard Transsphenoidal Approach to the Sellar Region, with Emphasis on the Extended Approaches and Parasellar Approaches: Surgical Experience in 105 Cases

Neurosurgery · 2004 · Vol. 55(3) · pp. 539–550
William T. CouldwellMartin H. WeissCraig H. RabbJames K. LiuRonald I. ApfelbaumTakanori Fukushima

Abstract

These modifications of the standard transsphenoidal approach are useful for lesions within the boundaries noted above, they offer excellent alternatives to transcranial approaches for these lesions, and they avoid prolonged exposure time and brain retraction. Technical details are discussed and illustrative cases presented.

Pituitary Gland Disorders and TreatmentsMeningioma and schwannoma managementHead and Neck Surgical OncologyMedicineClivusCavernous sinusTuberculum sellaeSella turcicaInternal carotid arteryTranssphenoidal surgerySphenoid bonePituitary adenomaSurgery

MeSH terms

AdenocarcinomaAdenomaAdolescentAdultAgedBreast NeoplasmsChordomaCranial Fossa, PosteriorCranial NervesCraniopharyngiomaDisability EvaluationEthmoid BoneFemaleFibrous Dysplasia, MonostoticHumans
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Variations on the Standard Transsphenoidal Approach to the Sellar Region, with Emphasis on the Extended Approaches and Parasellar Approaches: Surgical Experience in 105 Cases · Scinovex