Craneofaringiomas: experiencia y resultados

Massa, D.; Glerean, Mariela; Rasmussen, Jorge; Altszul, Moira; Fainstein-Day, Patricia; Ajler, Pablo

doi:10.1016/j.neucir.2020.03.008

Cited by 4 publications

(1 citation statement)

References 23 publications

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“…[ 2 ] Although it is a benign tumor, the postoperative recurrence rate, mortality rate and complication rate are high, seriously affecting the life and quality of life of the patients. [ 20 – 23 ] In recent years, with the continuous application and development of EEA in craniopharyngioma patients, it has gradually replaced traditional craniotomy and is highly praised for its unique advantages such as less trauma and fewer postoperative complications. [ 24 – 27 ] Recurrent craniopharyngioma further increases the difficulty of surgery due to scar and adhesion after the previous operation, and the optimal surgical method is still controversial.…”

Section: Discussionmentioning

confidence: 99%

The safety and efficacy of endoscopic endonasal approach in the treatment of recurrent craniopharyngioma

Axier²,

Li³

et al. 2020

Medicine

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Background: Craniopharyngioma is the most challenging brain tumor with a high recurrence rate. Some scholars have shown that endoscopic endonasal approach (EEA) can achieve a higher total tumor resection rate and significantly reduce the incidence of complications and mortality. However, there is still no consensus on the surgical approach for recurrent craniopharyngioma. The purpose of this study is to evaluate the safety and efficacy of EEA in the treatment of recurrent craniopharyngioma. Methods: We will search 7 electronic databases (PubMed, EMBASE, Web of Science, the Cochrane Library, PsycINFO, AMED, Scopus) to collect related randomized controlled trials (RCTs). The resection rate, recurrence rate and progression-free survival rate will be regarded as the primary outcome, and the incidence of complications will be regarded as the secondary outcome. Endnote Software X9.0 will be used to filter articles, Review Manager Software 5.2 and STATA software 16.0 will be used for analysis and synthesis. Results: We will integrate existing studies to assess the safety and efficacy of EEA in the treatment of recurrent craniopharyngioma. Conclusion: Our study will provide EEA as an effective and safe treatment for recurrent craniopharyngioma. Registration number: International Prospective Register of Systematic Reviews (PROSPERO): CRD42020199860

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Section: Discussionmentioning

confidence: 99%

The safety and efficacy of endoscopic endonasal approach in the treatment of recurrent craniopharyngioma

Axier²,

Li³

et al. 2020

Medicine

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Cirugía del craneofaringioma basada en la topografía tumoral: relaciones anatómicas que predicen el riesgo quirúrgico individual

et al. 2021

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Craniopharyngioma surgery for rhinologists

Salmon

Kshirsagar

Eide

2022

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of reviewCraniopharyngiomas are rare tumors that that present with loss of pituitary function in most cases. They present in a bimodal age distribution and the most common treatment paradigms include gross total resection or subtotal resection followed by radiation. Endoscopic transnasal access to intradural tumors has become increasingly common due to improvements in equipment, increased familiarity with the surgical corridor and anatomy, and reconstruction techniques. As such, rhinologists play an increasingly important role in the management of craniopharyngiomas. Recent findingsRecent years have highlighted our growing experience with pediatric endonasal skull base surgery. Prior concerns including sphenoid pneumatization, midfacial growth restrictions, and intercarotid space limitations have been studied more extensively. It has been found that there are no increased complications with lack of sphenoid pneumatization, no changes to midfacial growth with endonasal techniques, and the inter-carotid distance is stable after around age 5. Advances in surgical and skull base reconstruction techniques and intraoperative monitoring have reduced the risks of complications from surgery. SummaryRhinologists play an important role in craniopharyngioma surgery. The approach to and reconstruction after tumor removal are vital portions of the procedure that allow for resection and prevent postsurgical complications.

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Craneofaringiomas: experiencia y resultados

Cited by 4 publications

References 23 publications

The safety and efficacy of endoscopic endonasal approach in the treatment of recurrent craniopharyngioma

The safety and efficacy of endoscopic endonasal approach in the treatment of recurrent craniopharyngioma

Cirugía del craneofaringioma basada en la topografía tumoral: relaciones anatómicas que predicen el riesgo quirúrgico individual

Craniopharyngioma surgery for rhinologists

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