Selection of transcranial approach for tuberculum sellae meningiomas

doi:10.3877/cma.j.issn.2095-123X.2020.01.009

Abstract

Abstract:

Tuberculum sellae meningiomas (TSMs) are usually treated by transcranial and endoscopic transsphenoidal approaches. There is no uniform standard for the choice of surgical approach, which approach to choose depends not only on the tumor itself, but also on the the surgeon’s familiarity and mastery of the surgical approach. This article summarizes and analyzes the advantages and disadvantages of each approach for TSMs clinically commonly used surgical approaches, in order to grasp the essence of the approach and play a beneficial role in the choice of surgical approach.

Key words: Tuberculum sellae meningiomas, Surgical approach, Microsurgery

Lihua Chen, Kai Sun, Hongtian Zhang, Wenjin Chen, Ruxiang Xu. Selection of transcranial approach for tuberculum sellae meningiomas[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2020, 10(01): 38-43.

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References 22

[1]	Ajlan AM, Choudhri O, Hwang P, et al. Meningiomas of the tuberculum and diaphragma sellae[J]. J Neurol Surg B Skull Base, 2015, 76(1): 74-79.
[2]	Nakamura M, Roser F, Struck M, et al. Tuberculum sellae meningiomas: clinical outcome considering different surgical approaches[J]. Neurosurgery, 2006, 59(5): 1019-1028; discussion 1028-1019.
[3]	陈立华，陈凌，张秋航,等.经额外侧入路显微手术切除鞍结节脑膜瘤[J].中华神经外科杂志, 2009, 25(12): 1081-1083.
[4]	Li HC, Ling C, Li XL. Microsurgical management of tuberculum sellae meningiomas by the frontolateral approach: surgical technique and visual outcome[J]. Clin Neurol Neurosurg, 2011, 113(1): 39-47.
[5]	Hernesniemi J, Ishii K, Niemela M, et al. Lateral supraorbital approach as an alternative to the classical pterional approach[J]. Acta Neurochir Suppl, 2005, 94: 17-21.
[6]	Romani R, Laakso A, Kangasniemi M, et al. Lateral supraorbital approach applied to tuberculum sellae meningiomas: experience with 52 consecutive patients[J]. Neurosurgery, 2012, 70(6): 1504-1518; discussion 1518-1509.
[7]	Linsler S, Fischer G, Skliarenko V, et al. Endoscopic assisted supraorbital keyhole approach or endoscopic endonasal approach in cases of tuberculum sellae meningioma: which surgical route should be favored?[J]. World Neurosurg, 2017, 104: 601-611.
[8]	Jallo GI, Benjamin V. Tuberculum sellae meningiomas: microsurgical anatomy and surgical technique[J]. Neurosurgery, 2002, 51(6): 1432-1439; discussion 1439-1440.
[9]	Bassiouni H, Asgari S, Stolke D. Tuberculum sellae meningiomas: functional outcome in a consecutive series treated microsurgically[J]. Surg Neurol, 2006, 66(1): 37-44; discussion 44-35.
[10]	Schick U, Hassler W. Surgical management of tuberculum sellae meningiomas: involvement of the optic canal and visual outcome[J]. J Neurol Neurosurg Psychiatry, 2005, 76(7): 977-983.
[11]	Kinjo T, Al-Mefty O, Ciric I. Diaphragma sellae meningiomas[J]. Neurosurgery, 1995, 36(6): 1082-1092.
[12]	Goel A, Muzumdar D, Desai KI. Tuberculum sellae meningioma: a report on management on the basis of a surgical experience with 70 patients[J]. Neurosurgery, 2002, 51(6): 1358-1363; discussion 1363-1354.
[13]	Al-Mefty O. Supraorbital-pterional approach to skull base lesions[J]. Neurosurgery, 1987, 21(4): 474-477.
[14]	Basma J, Nguyen V, Sorenson J, et al. Orbitopterional approach with extradural clinoidectomy for the resection of a tuberculum sellae meningioma: adapting the strategy to the microsurgical and pathological anatomy[J]. J Neurol Surg B Skull Base, 2018, 79 (Suppl 3): S261-S262.
[15]	Arifin MZ, Mardjono I, Sidabutar R, et al. Pterional approach versus unilateral frontal approach on tuberculum sellae meningioma: single centre experiences[J]. Asian J Neurosurg, 2012, 7(1): 21-24.
[16]	Wilk A, Zielinski G, Witek P, et al. Outcome assessment after surgical treatment of tuberculum sellae meningiomas-a preliminary report[J]. Turk Neurosurg, 2016, 26(6): 824-832.
[17]	Soni RS, Patel SK, Husain Q, et al. From above or below: The controversy and historical evolution of tuberculum sellae meningioma resection from open to endoscopic skull base approaches[J]. J Clin Neurosci, 2014, 21(4): 559-568.
[18]	Margalit N, Kesler A, Ezer H, et al. Tuberculum and diaphragma sella meningioma--surgical technique and visual outcome in a series of 20 cases operated over a 2.5-year period[J]. Acta Neurochir (Wien), 2007, 149(12): 1199-1204; discussion 1204.
[19]	诸葛启钏，吴近森，潘进钱,等.经单侧额部纵裂入路显微外科切除鞍结节和鞍膈脑膜瘤[J].中华神经外科杂志, 2003, 19(1): 40-42.
[20]	Ganna A, Dehdashti AR, Karabatsou K, et al. Fronto-basal interhemispheric approach for tuberculum sellae meningiomas; long-term visual outcome[J]. Br J Neurosurg, 2009, 23(4): 422-430.
[21]	计颖，牛朝诗，程伟,等.前纵裂入路显微手术切除巨大鞍结节脑膜瘤[J].临床神经外科杂志, 2011, 8(5): 225-227.
[22]	Alvernia JE, Lanzino G, Melgar M, et al. Is exposure of the superior sagittal sinus necessary in the interhemispheric approach?[J]. Neurosurgery, 2009, 65(5): 962-964; discussion 964-965.

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