Department of Neurological Surgery, Hospital Virgen Del Rocío, Avenida Manuel siurot s/n, 41013, Sevilla, Spain.
Acta Neurochir (Wien). 2019 Oct;161(10):2123-2127. doi: 10.1007/s00701-019-04012-1. Epub 2019 Jul 20.
Pituitary transposition preserving gland function is possible when approaching superior clival region tumors. Clinical experience along with detailed anatomical knowledge makes this technique safe and effective.
We present a step by step description of our technique based on the most recent anatomical references to get a pituitary transposition through the different compartments of the cavernous sinus. By this technique, we achieve minor gland manipulation and a better surgical view of this area. We support this technique with an anatomical analysis on cadaveric specimens and clarifying dissection images.
Transcavernous sinus pituitary gland transposition is an easily feasible technique and allows gland shifting preserving pituitary function.
在接近颅颈交界区肿瘤时,保留垂体功能的垂体移位是可能的。临床经验和详细的解剖学知识使这项技术既安全又有效。
我们根据最近的解剖学参考资料,对我们的技术进行了逐步描述,以便通过海绵窦的不同间隙进行垂体移位。通过这种技术,我们可以对垂体进行轻微的操作,并获得该区域更好的手术视野。我们在尸体标本上进行了解剖学分析,并提供了清晰的解剖图像来支持这项技术。
经海绵窦垂体移位是一种易于实施的技术,可在保留垂体功能的同时实现腺体移位。