Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Kurschel, S; Gellner, V; Clarici, G; Braun, H; Stammberger, H; Mokry, M.
Endoscopic rhino-neurosurgical approach for non-adenomatous sellar and skull base lesions.
Rhinology. 2011; 49(1): 64-73.
Doi: 10.4193/Rhino10.046
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- Führende Autor*innen der Med Uni Graz
- Kurschel-Lackner Senta
- Co-Autor*innen der Med Uni Graz
- Braun Hannes
- Gellner Verena
- Mokry Michael
- Stammberger Heinz
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- Abstract:
- Objective: Since endascopic endonasal transsphenoidal surgery requires skills of both neurosurgeons and otorhinolaryngologists, and the nose is the primary corridor of approach, we favour the term "endoscopic rhino-neurosurgery" and report on our interdisciplinary experience treating non-adenomatous lesions with skull base extension. Methods: Between 2004 and 2009, 58 patients with 21 different disease patterns underwent endoscopic rhino-neurosurgical procedures. Mean age was 39.9 years, 50% were female. Seven had undergone prior surgery Clinically, 34.5% presented with visual field deficits and with nerve palsies. Preoperatively, 62.1% showed a normal pituitary function. Results: Mean follow-up was 13.1 months. The surgical goal depended on type of lesion; the intended extent of resection was achieved in 81%. Recovery from visual field deficits occurred in 80%. Neither deteriorated nor new cranial nerve palsies were observed. A normal endocrinological function could be maintained in 94.4%. Permanent diabetes insipidus occurred in 7 patients. Surgical complications included cerebrospinal fluid (CSF) leaks ill 6 patients and meningitis in 4. All complications were managed successfully. There was no surgery-related mortality. Conclusion: The endoscopic rhino-neurosurgical approach is applicable for a wide variety of lesions comprising sella and skull base. As our data prove, this technique can be performed with satisfying results in non-adenomatous lesions as well
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Adult -
- Aged -
- Child -
- Child, Preschool -
- Female -
- Humans -
- Magnetic Resonance Imaging -
- Male -
- Meningioma - surgery
- Middle Aged -
- Neuroendoscopy - methods
- Sella Turcica - surgery
- Skull Base Neoplasms - pathology Skull Base Neoplasms - surgery
- Young Adult -
- Find related publications in this database (Keywords)
- endoscopy
- extended endonasal surgery
- skull base lesion