Easy Sellar Reconstruction in Endoscopic Endonasal Transsphenoidal Surgery with Polyester-Silicone Dural Substitute and Fibrin Glue: Technical Note

Abstract

This easy method of sellar reconstruction represents an effective and fast possibility to perform the final step of the endoscopic transsphenoidal procedure, which otherwise may cause maneuverability problems in the limited space of one nostril.

Sellar Repair in Endoscopic Endonasal Transsphenoidal Surgery: Results of 170 Cases

“…We have used a polyester-silicone dural substitute (Cousin Biotech, Wervicq-Sud, France) for sellar reconstruction (5). It is tailored with scissors to adequate size and introduced in a bent fashion, after lesion removal, to be released and spontaneously opened in the chosen site (intradurally and/or extradurally), where a reactive fibrosis then occurs.…”

Surgical complications associated with the endoscopic endonasal transsphenoidal approach for pituitary adenomas

“…The first patient had an intrasellar-suprasellar and right parasellar nonfunctioning macroadenoma and returned to our care 15 days postsurgery after the onset of a low-volume CSF leak, which resolved after a 5-day lumbar drainage. The other two patients had intrasellar-suprasellar nonfunctioning macroadenomas, and in both cases the CSF leak occurred the day after surgery; early reoperation and closure of the sella with the usual procedure, an intradural-extradural repair with a polyester-silicone dural substitute, and fibrin glue, 12 was successful without the application of lumbar drainage. …”

Feasibility of the nasoseptal flap for reconstruction of large anterior skull base defects in Asians

“…To minimize postoperative complications, adequate reconstruction of the skull base defect (SBD) is as important as the resection itself. Various techniques and materials have been used to reconstruct the SBD after EEA tumor resection, including autologous and synthetic materials [3][4][5][6][7][8]. Among these the nasoseptal flap (SF) has been shown to be one of the most valuable methods, with reports showing reduced incidence of postoperative cerebrospinal fluid (CSF) leak (<5%) [9].…”