Endoskopie 2011; 20(2): 57-61

Endoscopic transnasal approach to lesions of sellar region

MUDr.Radim Lipina, Ph.D.¹, MUDr.Petr Matoušek, Ph.D.², MUDr.Tomáš Paleček, Ph.D.^1,3, doc.MUDr.Pavel Komínek, Ph.D., MBA^2,3

¹ Neurochirurgická klinika FN Ostrava

² ORL klinika FN Ostrava

³ Lékařská fakulta Ostravské univerzity v Ostravě

Introduction: Authors reviewed series of endoscopic transnasal operations performed for pathology in sellar region.

Methods: Between March 2007 and December 2010 sixty five endoscopic transnasal operations were performedin our clinic. We provided

55 operations for pituitary adenomas, 8 operations for non-pituitary leasions, 1 patient was operated for Rathke’s cleft cyst and two

patients were operated for spontaneous CSF leak.

Results: Total removal was achieved in 75 % of patients with non-functioning pituitary adenomas and in all patients with functioning

adenomas and meningiomas. Subtotal removal was performed in 1 patient with craniopharyngeoma and 1 patient with orbital tumor.

Both patients with spontaneous CSF leak were also solved endoscopically. Complications were present in 6 patients in our series. 3

patients were re-operated for postoperative CFS leak. Diabetes insipidus was present postoperatively in 3 patients, and persisted permanently

in 1 patient.

Conclusion: Today, endoscopic transnasal approach is a safe miniivasive method for pituitary adenomas removal. Other skull base

leasions can be operated by experienced surgical team.

Keywords: transnasal endoscopic surgery, pituitary adenoma, skull base

Published: September 1, 2011  Show citation