2020
DOI: 10.4103/ajns.ajns_186_19
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Transpalpebral approach for microsurgical removal of tuberculum sellae meningiomas

Abstract: Background: The evolution of skull base approaches associated with individualization of surgical corridor and minimizing the collateral damage. Achieving the radical removal of tumor and preserving the neurological status of the patient is possible, both with the traditional approaches and keyhole approaches. Our work presents experience using the transpalpebral approach (TPA) for microsurgical removal of tuberculum sellae meningioma (TSM). Materials and Methods: A total of 15 patients with meningiomas underwe… Show more

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Cited by 7 publications
(5 citation statements)
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“…In our cohort, 71 (84.52%) patients presented with blurred vision and visual field. The ratio was similar to previous reports (5,6,16,17). The majority of patients could achieve improvement in visual function after surgery.…”
Section: Visual Outcomesupporting
confidence: 93%
See 1 more Smart Citation
“…In our cohort, 71 (84.52%) patients presented with blurred vision and visual field. The ratio was similar to previous reports (5,6,16,17). The majority of patients could achieve improvement in visual function after surgery.…”
Section: Visual Outcomesupporting
confidence: 93%
“…Although a more excellent visual prognosis could be harvested in the endoscopic group, the extent of tumor resection seemed to be similar between the two groups based on the previous reports (5,6,11,16,20). Bander et al (17) reported that the average extent of resection achieved was not significantly different between the two groups (98.80% ± 3.32% vs. 95.13% ± 11.69%, p = 0.206).…”
Section: Extent Of Resectionmentioning
confidence: 55%
“…The incision is made within the supratarsal fold extending to the lateral canthal line 32 . The surgical complications of the transpalpebral approach vary among studies but may include transient frontal hypoesthesia, transient frontal muscle palsy, and visual disturbances among other universal surgical complications such as infection 33,34 . This approach, often performed with the expertise of an oculoplastic or craniofacial surgeon present, offers good cosmetic outcomes with the scar hidden in the eyelid crease 32,33 .…”
Section: Discussionmentioning
confidence: 99%
“…32 The surgical complications of the transpalpebral approach vary among studies but may include transient frontal hypoesthesia, transient frontal muscle palsy, and visual disturbances among other universal surgical complications such as infection. 33,34 This approach, often performed with the expertise of an oculoplastic or craniofacial surgeon present, offers good cosmetic outcomes with the scar hidden in the eyelid crease. 32,33 Rychen et al 35 compare the transpalpebral and supraciliary approach with the use of cadavers and virtual craniotomies, finding that the transpalpebral approach restricts the craniocaudal working angle during surgery.…”
Section: Discussionmentioning
confidence: 99%
“…However, precise preoperative distinction between these two tumors may aid the determination of a suitable surgical planning. Most sellar meningiomas may require a craniotomy and Dzhindzhikhadze et al ., have reported that a transpalpebral approach may be followed, whereas most supra- and intrasellar macroadenomas are resected via the trans-sphenoidal route ( 8 , 9 , 10 , 11 ).…”
Section: Introductionmentioning
confidence: 99%