Three-Dimensional Endoscopic Endonasal Approach and Outcomes in Sellar Lesions: A Single-Center Experience of 104 Cases

2016 ◽  
Vol 89 ◽  
pp. 121-125 ◽  
Author(s):  
Valentina Pennacchietti ◽  
Massimiliano Garzaro ◽  
Silvia Grottoli ◽  
Paolo Pacca ◽  
Diego Garbossa ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Single Center ◽  
Endoscopic Endonasal ◽  
Single Center Experience ◽  
Sellar Lesions

scholarly journals The Angelina Dissectors: A Novel Design of Dissectors for Endoscopic Endonasal Approaches

2019 ◽  
Vol 81 (03) ◽  
pp. 295-300
Author(s):  
Alexandre B. Todeschini ◽  
Bradley A. Otto ◽  
Ricardo L. Carrau ◽  
Daniel M. Prevedello
Keyword(s):  
Patient Outcome ◽  
Transsphenoidal Surgery ◽  
Standard Procedure ◽  
Major Change ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal ◽  
Sellar Lesions ◽  
New Instruments ◽  
Novel Design

Background The description and refinement of the transsphenoidal approach would not be possible without new tools and technologies developed by surgeons to facilitate this approach, which is nowadays the standard procedure for more than 90% of sellar lesions. The latest major change in transsphenoidal surgery was the introduction of the rigid endoscope and the subsequent description of the endoscopic endonasal approach. Traditional bayoneted instruments, when used for this technique, were inadequate. New instruments designed, specifically for this technique, are necessary to facilitate the surgeon's work and improve patient outcome. Objective This study describes a novel design of dissectors created specifically for endoscopic endonasal approaches. Methods To develop and design the Angelina dissectors, we used our extensive surgical experience to identify the shortcomings of the available dissectors used for transsphenoidal surgery and created the Angelina dissectors. Results The Angelina dissector was designed with a unique shaft shape which facilitates endoscopic endonasal surgery. Conclusion Even though an endoscopic endonasal approach is possible using other instruments, the design of these dissectors aids the surgeon's work. It is our impression, based on personal experience that it allows more freedom of movement and dexterity during the procedure, which could translate as an improved patient outcome.

scholarly journals Suprachiasmatic translamina terminalis corridor used in endoscopic endonasal approach for resecting third ventricular craniopharyngioma

2015 ◽  
Vol 122 (5) ◽  
pp. 1166-1172 ◽  
Author(s):  
Ye Gu ◽  
Xiaobiao Zhang ◽  
Fan Hu ◽  
Yong Yu ◽  
Tao Xie ◽  
...  
Keyword(s):  
Hormone Replacement ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Single Center ◽  
Total Resection ◽  
Endoscopic Endonasal ◽  
Visual Improvement ◽  
Single Center Study ◽  
Anterior Extension ◽  
Center Study

OBJECT The translamina terminalis corridor was used in the transcranial anterior route to treat third ventricular craniopharyngioma (TVC), which presents a challenge to neurosurgeons. The endoscopic endonasal approach (EEA) has recently been used to treat craniopharyngiomas. However, there are few reports of the EEA being used to treat TVC. The authors' novel surgical approach of treating selected TVC by the endoscopic endonasal route via the suprachiasmatic translamina terminalis (STLT) corridor is described. METHODS In this single-center study, the EEA via the STLT corridor was used to resect TVC with great upper and anterior extension causing bulged lamina terminalis, and TVC with a residual upper compartment, after routine infrachiasmatic transmetastalk corridor resection. RESULTS The STLT corridor was used in 3 patients. Gross-total resection was achieved in all cases. One patient achieved visual improvement, and the other 2 patients showed partial visual improvement. Leakage of CSF occurred in 1 patient. Postoperative hormone replacement therapy was required in all patients. CONCLUSIONS The STLT corridor is a complementary minimally invasive corridor used in the EEA for treating selected TVC. The STLT alone or combined with infrachiasmatic transmetastalk corridors should be selected depending on the size of suprachiasmatic and infrachiasmatic space.

The expanded endoscopic endonasal approach for suprasellar meningiomas: long-term outcomes in a single-center series of 27 patients

2019 ◽  
Vol 162 (3) ◽  
pp. 623-629
Author(s):  
Kaiyun Yang ◽  
Yosef Ellenbogen ◽  
Shaowei Dong ◽  
Jeehyun Kim ◽  
Ramiro Larrazabal ◽  
...  
Keyword(s):  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Single Center ◽  
Long Term Outcomes ◽  
Endoscopic Endonasal

Endoscopic Endonasal Approach to Cholesterol Granulomas of the Petrous Apex: A Series of 17 Patients

2012 ◽  
Vol 73 (S 02) ◽  
Author(s):  
A. Paluzzi ◽  
M. Koutourousiou ◽  
J. Fernandez-Miranda ◽  
P. Gardner ◽  
C. Snyderman
Keyword(s):  
Petrous Apex ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal

Endoscopic Endonasal Approach for Pituitary Adenomas: A Series of 560 Patients

2012 ◽  
Vol 73 (S 02) ◽  
Author(s):  
A. Paluzzi ◽  
P. Gardner ◽  
J. Fernandez-Miranda ◽  
M. Koutourousiou ◽  
M. Tormenti ◽  
...  
Keyword(s):  
Pituitary Adenomas ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal
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