Endoscopic combined “transseptal/transnasal” approach for pituitary adenoma: reconstruction of skull base using pedicled nasoseptal flap in 91 consecutive cases
Objective The purpose of this study was to describe the endoscopic combined “transseptal/transnasal” approach with a pedicled nasoseptal flap for pituitary adenoma and skull base reconstruction, especially with respect to cerebrospinal fluid (CSF) fistula.Method Ninety-one consecutive patients with...
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Thieme Revinter Publicações
2015-07-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000700611&lng=en&tlng=en |
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| author | Yasunori Fujimoto Leonardo Balsalobre Fábio P. Santos Eduardo Vellutini Aldo C. Stamm |
| author_facet | Yasunori Fujimoto Leonardo Balsalobre Fábio P. Santos Eduardo Vellutini Aldo C. Stamm |
| author_sort | Yasunori Fujimoto |
| collection | DOAJ |
| description | Objective The purpose of this study was to describe the endoscopic combined “transseptal/transnasal” approach with a pedicled nasoseptal flap for pituitary adenoma and skull base reconstruction, especially with respect to cerebrospinal fluid (CSF) fistula.Method Ninety-one consecutive patients with pituitary adenomas were retrospectively reviewed. All patients underwent the endoscopic combined “transseptal/transnasal” approach by the single team including the otorhinolaryngologists and neurosurgeons. Postoperative complications related to the flap were analyzed.Results Intra- and postoperative CSF fistulae were observed in 36 (40%) and 4 (4.4%) patients, respectively. Among the 4 patients, lumbar drainage and bed rest healed the CSF fistula in 3 patients and reoperation for revision was necessary in one patient. Other flap-related complications included nasal bleeding in 3 patients (3.3%).Conclusion The endoscopic combined “transseptal/transnasal” approach is most suitable for a two-surgeon technique and a pedicled nasoseptal flap is a reliable technique for preventing postoperative CSF fistula in pituitary surgery. |
| format | Article |
| id | doaj-art-079361f175fa4c8ebe99b746f9c942cc |
| institution | OA Journals |
| issn | 1678-4227 |
| language | English |
| publishDate | 2015-07-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-079361f175fa4c8ebe99b746f9c942cc2025-08-20T01:59:12ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272015-07-0173761161510.1590/0004-282X20150070S0004-282X2015000700611Endoscopic combined “transseptal/transnasal” approach for pituitary adenoma: reconstruction of skull base using pedicled nasoseptal flap in 91 consecutive casesYasunori FujimotoLeonardo BalsalobreFábio P. SantosEduardo VellutiniAldo C. StammObjective The purpose of this study was to describe the endoscopic combined “transseptal/transnasal” approach with a pedicled nasoseptal flap for pituitary adenoma and skull base reconstruction, especially with respect to cerebrospinal fluid (CSF) fistula.Method Ninety-one consecutive patients with pituitary adenomas were retrospectively reviewed. All patients underwent the endoscopic combined “transseptal/transnasal” approach by the single team including the otorhinolaryngologists and neurosurgeons. Postoperative complications related to the flap were analyzed.Results Intra- and postoperative CSF fistulae were observed in 36 (40%) and 4 (4.4%) patients, respectively. Among the 4 patients, lumbar drainage and bed rest healed the CSF fistula in 3 patients and reoperation for revision was necessary in one patient. Other flap-related complications included nasal bleeding in 3 patients (3.3%).Conclusion The endoscopic combined “transseptal/transnasal” approach is most suitable for a two-surgeon technique and a pedicled nasoseptal flap is a reliable technique for preventing postoperative CSF fistula in pituitary surgery.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000700611&lng=en&tlng=enfístulas líquido cefalorraquidianoacesso endoscópico endonasalflap naso-septal pediculadoadenoma de hipófise |
| spellingShingle | Yasunori Fujimoto Leonardo Balsalobre Fábio P. Santos Eduardo Vellutini Aldo C. Stamm Endoscopic combined “transseptal/transnasal” approach for pituitary adenoma: reconstruction of skull base using pedicled nasoseptal flap in 91 consecutive cases Arquivos de Neuro-Psiquiatria fístulas líquido cefalorraquidiano acesso endoscópico endonasal flap naso-septal pediculado adenoma de hipófise |
| title | Endoscopic combined “transseptal/transnasal” approach for pituitary adenoma: reconstruction of skull base using pedicled nasoseptal flap in 91 consecutive cases |
| title_full | Endoscopic combined “transseptal/transnasal” approach for pituitary adenoma: reconstruction of skull base using pedicled nasoseptal flap in 91 consecutive cases |
| title_fullStr | Endoscopic combined “transseptal/transnasal” approach for pituitary adenoma: reconstruction of skull base using pedicled nasoseptal flap in 91 consecutive cases |
| title_full_unstemmed | Endoscopic combined “transseptal/transnasal” approach for pituitary adenoma: reconstruction of skull base using pedicled nasoseptal flap in 91 consecutive cases |
| title_short | Endoscopic combined “transseptal/transnasal” approach for pituitary adenoma: reconstruction of skull base using pedicled nasoseptal flap in 91 consecutive cases |
| title_sort | endoscopic combined transseptal transnasal approach for pituitary adenoma reconstruction of skull base using pedicled nasoseptal flap in 91 consecutive cases |
| topic | fístulas líquido cefalorraquidiano acesso endoscópico endonasal flap naso-septal pediculado adenoma de hipófise |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000700611&lng=en&tlng=en |
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