Neuroendoscopic surgery of supraorbital keyhole approach for the removal of medium and large sized tuberculum sellae meningiomas

VernacularTitle:神经内镜下经眶上锁孔入路切除大、中型鞍结节脑膜瘤
Author: Junwei WANG ; Xiuwen ZHAO ; Chuhua FU ; Xuegang LI ; Pan WANG ; Hua FENG ; Nan WU
Keywords: endoscope; supraorbital keyhole approach; meningeal neoplasms; sella turcica
From: Chongqing Medicine 2017;46(6):758-759,763
CountryChina
Language:Chinese
Abstract: Objective To explore the effect of neuroendoscopic surgery for the removal of medium and large sized tuberculum sellae meningiomas through supraorbital keyhole approach.Methods A retrospective research was performed on 7 case of patients with tuberculum sellae meningioma who underwent endoscopic surgery through supraorbital keyhole approach.The main performance of patients as tumor diameter were 2.8-4.7 cm and the skin incision located at superciliary aich which size of intra-frontal bone window was 3.5 cm× 2.0 cm.Results Total removal was achieved in 7 cases(simpson Ⅰ grade in 2 patients,sirnpson 1Ⅱ grade in 5 patients).Postoperative,the visual outcomes of eyes were showed improvement in 9 eyes,remained steady in 3 eyes,and deterioration in 2 eyes.All patients were followed up for 6-13 months and no recurrence was found.Conclusion Neuroendoscopic surgery through supraorbital keyhole approach is an effective method for the resection of medium and large sized tuberculum sellae meningiomas.