Relationship of sphenoid intersinus septa with transsphenoidal resection of sellar area tumor
10.3760/cma.j.issn.1671-8925.2011.07.012
- VernacularTitle:蝶窦内间隔与经单鼻孔-蝶窦-鞍区肿瘤切除术效果分析
- Author:
Qun WEI
1
;
Yun-Jun LI
;
Chun-Sen SHEN
;
Jiang-Hong HE
;
Jia-Zhen QIN
;
Yong-Chun LUO
;
Chun-Yang LIANG
;
Ru-Xiang XU
Author Information
1. 北京军区总医院附属八一脑科医院,北京军区总医院
- Keywords:
Sphenoid sinus;
Septa;
Surgical treatment
- From:
Chinese Journal of Neuromedicine
2011;10(7):697-699
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the relationship of sphenoidal intersinus septa with transsphenoidal resection of sellar area tumor. Methods The pre-operative MRI and CT images of the sphenoid intersinus septa and its importance in transsphenoidal resection of sellar area tumor were studied in 107 patients, admitted to our hospital from January 2008 to December 2010. The amounts, locations, anatomic specialties of the septa and its relationships with the floor of selle, the internal carotid artery canals and the tumors were analyzed to guide the operative procedures during the operation. Results Total removal of the tumors in seller region was obtained in 67 patients, subtotal removal in 21 and partial removal in 19. According to the MRI and CT images of the sphenoid intersinus septa, the location of the tumor and the carotid artery in 47 patients were quickly determined; complex sphenoid intersinus septa was noted in 11 patients, and the relation of sellar floor with the septa was quickly determined and the scope and direction of removal were determined too. Rupture of the internal carotid artery occurred in 1 patient, and damages of the cavernous sinuses occurred in 4. Conclusion Careful study of the pre-operative MRI or CT images of the sphenoidal intersinus septa and its relationship with the floor of seller, the internal carotid artery and the tumor will assure the transspenoidal surgery more precisely and safely, and the complication can be efficiently prevented and decreased.
