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J Neurol Surg A Cent Eur Neurosurg 2014; 75(02): 158-160
DOI: 10.1055/s-0032-1331387
Technical Note
Georg Thieme Verlag KG Stuttgart · New York

A Useful Maneuver to Simplify Sellar Floor Repair Following Endoscopic Transnasal Pituitary Surgery

Aldo Iannelli
1   Unit of Neurosurgery, Department of Neuroscience, University of Pisa, Pisa, Italy
,
Riccardo Lenzi
2   Unit of Otorhinolaryngology, Department of Neuroscience, University of Pisa, Pisa, Italy
,
Luca Muscatello
2   Unit of Otorhinolaryngology, Department of Neuroscience, University of Pisa, Pisa, Italy
› Author Affiliations
Further Information

Publication History

14 June 2011

02 March 2012

Publication Date:
10 January 2013 (online)

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Abstract

The watertight closure of the skull base after endonasal surgery is and has always been critical in cranial base surgery. Nowadays, endoscopic transsphenoidal surgery is the standard of treatment for most of the sellar tumors. Reconstruction of the sella is not always deemed necessary, and generally it is reserved for patients with macroadenomas or with intraoperative evidence of cerebrospinal fluid leak. We herein report our experience with a simple maneuver that, in our opinion, simplifies sellar floor reconstruction.

Keywords

endoscopy - pituitary adenoma - transsphenoidal approach - sellar floor reconstruction.
 

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