Dural repair after intraoperative CSF leakage in endoscopic endonasal skull base surgery without pedicled nasoseptal flap: is it a safe surgical technique?

Doglietto F, Prevedello DM, Jane JA, Han J, Laws ER (2005) A brief history of endoscopic transsphenoidal surgery—from Philipp Bozzini to the first world Congress of endoscopic skull base surgery. Neurosurg Focus 19(6):1–6

Article  Google Scholar 

Cappabianca P, Alfieri A, Divitiis ED (1998) Endoscopic endonasal transsphenoidal approach to the sella: towards functional endoscopic pituitary surgery (FEPS)*. Min - Minim Invasive Neurosurg 41(02):66–73

Article  PubMed  Google Scholar 

Prevedello DM, Doglietto F, Jane JA, Jagannathan J, Han J, Laws ER (2007) History of endoscopic skull base surgery: its evolution and current reality. J Neurosurg 107(1):206–213

Article  PubMed  Google Scholar 

Kaptain GJ, Vincent DA, Sheehan JP, Laws ER (2001) Transsphenoidal approaches for the extracapsular resection of midline suprasellar and anterior cranial base lesions. Neurosurgery 49(1):94–100 discussion 100–101

PubMed  Google Scholar 

Chen SH, Sprau A, Chieng L, Buttrick S, Alam ES, Ali SC et al (2019) Transsphenoidal approach for pituitary adenomas in elderly patients. World Neurosurg 121:e670–e674

Article  PubMed  Google Scholar 

Oertel J, Gaab MR, Linsler S (2016) The endoscopic endonasal transsphenoidal approach to sellar lesions allows a high radicality: the benefit of angled optics. Clin Neurol Neurosurg 146:29–34

Article  PubMed  Google Scholar 

Cavallo LM, De Divitiis O, Aydin S, Messina A, Esposito F, Iaconetta G et al (2008) Extended endoscopic endonasal transsphenoidal approach to the suprasellar area: anatomic considerations—Part 1. Neurosurgery 62(6):SHC1202–SHC1212

Article  Google Scholar 

Cappabianca P, Cavallo LM, Esposito F, Valente V, De Divitiis E (2002) Sellar repair in endoscopic endonasal transsphenoidal surgery: results of 170 cases. Neurosurgery 51(6):1365–1371 discussion 1371–1372

Article  PubMed  Google Scholar 

Pagliano P, Caggiano C, Ascione T, Solari D, Di Flumeri G, Cavallo LM et al (2017) Characteristics of meningitis following transsphenoidal endoscopic surgery: a case series and a systematic literature review. Infection 45(6):841–848

Article  PubMed  Google Scholar 

Fang J, Xie S, Li N, Jiang Z (2018) Postoperative complications of endoscopic versus microscopic transsphenoidal pituitary surgery: a meta-analysis. J Coll Physicians Surg Pak 28(7):554–559

Article  PubMed  Google Scholar 

Gstrein NA, Zwicky S, Serra C, Hugelshofer M, Regli L, Soyka MB et al (2023) Rhinologic outcome of endoscopic transnasal-transsphenoidal pituitary surgery: an institutional series, systematic review, and meta-analysis. Eur Arch Otorhinolaryngol 280(9):4091–4099

Article  PubMed  PubMed Central  Google Scholar 

CRANIAL Consortium, Neurology and Neurosurgery Interest Group British Neurosurgical Trainee Research Collaborative (2023) CSF rhinorrhoea after endonasal intervention to the skull base (CRANIAL): a multicentre prospective observational study. Front Oncol 12:1049627

Article  Google Scholar 

Han ZL, He DS, Mao ZG, Wang HJ (2008) Cerebrospinal fluid rhinorrhea following trans-sphenoidal pituitary macroadenoma surgery: experience from 592 patients. Clin Neurol Neurosurg 110(6):570–579

Article  PubMed  Google Scholar 

Slot EMH, Sabaoglu R, Voormolen EHJ, Hoving EW, Van Doormaal TPC (2022) Cerebrospinal fluid leak after transsphenoidal surgery: a systematic review and meta-analysis. Journal of Neurological Surgery Part B: Skull Base 83(S 02):e501–e513

Article  PubMed  Google Scholar 

Stefanidis P, Kyriakopoulos G, Athanasouli F, Mytareli C, Τzanis G, Korfias S et al (2022) Postoperative complications after endoscope-assisted transsphenoidal surgery for pituitary adenomas: a case series, systematic review, and meta-analysis of the literature. Hormones (Athens) 21(2):345–345

Article  PubMed  Google Scholar 

Sciarretta V, Mazzatenta D, Ciarpaglini R, Pasquini E, Farneti G, Frank G (2010) Surgical repair of persisting CSF leaks following standard or extended endoscopic transsphenoidal surgery for pituitary tumor. Min - Minim Invasive Neurosurg 53(02):55–59

Article  PubMed  Google Scholar 

Esposito F, Dusick JR, Fatemi N, Kelly DF, GRADED, REPAIR OF CRANIAL BASE DEFECTS AND CEREBROSPINAL FLUID LEAKS IN TRANSSPHENOIDAL SURGERY (2007) Oper Neurosurg 60(4):295–304

Article  PubMed  Google Scholar 

Hadad G, Bassagasteguy L, Carrau RL, Mataza JC, Kassam A, Snyderman CH et al (2006) A novel reconstructive technique after endoscopic expanded endonasal approaches: vascular pedicle nasoseptal flap. Laryngoscope 116(10):1882–1886

Article  PubMed  Google Scholar 

Linsler S, Gaab M, Oertel J (2013) Endoscopic endonasal transsphenoidal approach to sellar lesions: a detailed account of our mononostril technique. J Neurol Surg Part B Skull Base 74(03):146–154

Article  Google Scholar 

Stokken J, Recinos PF, Woodard T, Sindwani R (2015) The utility of lumbar drains in modern endoscopic skull base surgery. Curr Opin Otolaryngol Head Neck Surg 23(1):78–82

Zador Z, Gnanalingham K (2013) Endoscopic transnasal approach to the pituitary – operative technique and nuances. Br J Neurosurg 27(6):718–726

Article  PubMed  Google Scholar 

Aatman Shah HJ Perioperative Cerebrospinal Fluid Diversion Utilizing Lumbar Drains in Transsphenoidal Surgery. J Neurol Disord [Internet]. 2013 [cited 2024 Oct 26];02(02). Available from: http://www.esciencecentral.org/journals/perioperative-cerebrospinal-fluid-diversion-utilizing-lumbar-drains-in-transsphenoidal-surgery-2329-6895.1000150.php?aid=24339

Findler G, Sahar A, Beller AJ (1977) Continuous lumbar drainage of cerebrospinal fluid in neurosurgical patients. Surg Neurol 8(6):455–457

PubMed  Google Scholar 

D’Anza B, Tien D, Stokken JK, Recinos PF, Woodard TR, Sindwani R (2016) Role of lumbar drains in contemporary endonasal skull base surgery: meta-analysis and systematic review. Am J Rhinol Allergy 30(6):430–435

Article  PubMed  Google Scholar 

Munich S, Fenstermaker R, Fabiano A, Rigual N (2013) Cranial base repair with combined vascularized nasal septal flap and autologous tissue graft following expanded endonasal endoscopic neurosurgery. J Neurol Surg Part Cent Eur Neurosurg 74(02):101–108

Article  Google Scholar 

Yano S, Tsuiki H, Kudo M, Kai Y, Morioka M, Takeshima H et al (2007) Sellar repair with resorbable polyglactin acid sheet and fibrin glue in endoscopic endonasal transsphenoidal surgery. Surg Neurol 67(1):59–64

Article  PubMed  Google Scholar 

Seiler RW, Mariani L (2000) Sellar reconstruction with resorbable vicryl patches, gelatin foam, and fibrin glue in transsphenoidal surgery: a 10-year experience with 376 patients. J Neurosurg 93(5):762–765

Article  PubMed  Google Scholar 

Patel M, Stadler M, Snyderman C, Carrau R, Kassam A, Germanwala A et al (2010) How to choose?? Endoscopic skull base reconstructive options and limitations. Skull Base 20(06):397–404

Article  PubMed  PubMed Central  Google Scholar 

Shahein M, Montaser AS, Barbero JMR, Maza G, Todeschini AB, Otto BA et al (2020) Collagen matrix with mucoperiosteum graft as an effective fatless flapless reconstruction after endoscopic pituitary adenoma resection. Oper Neurosurg 19(6):E573–E580

Article  PubMed  Google Scholar 

Kassam AB, Carrau RL, Snyderman CH, Thomas A, Vescan A, Prevedello D et al (2008) ENDOSCOPIC RECONSTRUCTION OF THE CRANIAL BASE USING A PEDICLED NASOSEPTAL FLAP. Oper Neurosurg 63(1):ONS44–53

Article  Google Scholar 

Eloy JA, Kuperan AB, Choudhry OJ, Harirchian S, Liu JK (2012) Efficacy of the pedicled nasoseptal flap without cerebrospinal fluid (CSF) diversion for repair of skull base defects: incidence of postoperative CSF leaks. Int Forum Allergy Rhinol 2(5):397–401

Article  PubMed  Google Scholar 

Yin J, Su CB, Xu ZQ, Xia XW, Song F (2005) Reconstruction of the sellar floor following transsphenoidal surgery using gelatin foam and fibrin glue. Chin Med Sci J Chung-Kuo Hsueh Ko Hsueh Tsa Chih 20(3):198–201

Google Scholar 

Zeden JP, Baldauf J, Schroeder HWS (2020) Repair of the sellar floor using bioresorbable Polydioxanone foils after endoscopic endonasal pituitary surgery. Neurosurg Focus 48(6):E16

Article  PubMed  Google Scholar 

Kim S, Jeon C, Kong DS, Park K, Kim JH (2011) Clinical efficacy of radiation-sterilized allografts for sellar reconstruction after transsphenoidal surgery. J Korean Neurosurg Soc 50(6):503

Article  PubMed  PubMed Central  Google Scholar 

Lee IH, Kim DH, Park JS, Jeun SS, Hong YK, Kim SW (2021) Cerebrospinal fluid leakage repair of various grades developing during endoscopic transnasal transsphenoidal surgery. Psaltis AJ, editor. PLOS ONE. Mar 16(3):e0248229

Qi Q, Zhang Y, Wang J, Zhong H, Chen H, Wang C et al (2021) Deployment of a bioabsorbable plate as the rigid buttress for skull base repair after endoscopic pituitary surgery. Gland Surg 10(3):1010–1017

Article  PubMed  PubMed Central  Google Scholar 

Roca E, Penn DL, Safain MG, Burke WT, Castlen JP, Laws ER (2019) Abdominal fat graft for sellar reconstruction: retrospective outcomes review and technical note. Oper Neurosurg 16(6):667–674

Article  PubMed  Google Scholar 

Oertel J, Senger S, Linsler S (2020) The extended endoscopic approach to perisellar and skull base lesions: is one nostril enough? Neurosurg Rev 43(6):1519–1529

Article  PubMed 

Comments (0)

No login
gif