Endoscopic Endonasal Approach for Resection of Tuberculum Sellae Meningioma: A Promising Surgical Approach.

BACKGROUND

Over the past decade, endoscopic approaches have been increasingly successful in removing various types of extra-dural lesions from the skull base. Resection of tuberculum sellae meningiomas (TSMs) is challenging. The endoscopic endonasal approach (EEA) for the removal of TSMs is currently an acceptable surgical approach in neurosurgery and, despite the surgical results, the indications and limitations of this approach remain controversial.

OBJECTIVE

This paper reviews the authors' experience and outcomes with the EEA for TSM, as well as postoperative complications.

METHODS

Retrospective analyses were performed on patients who underwent endoscopic surgical resection of TSMs involving the suprasellar region between January 2018 and March 2019.

RESULTS

Three patients underwent resection of their TSM by the EEA. Tumors in the suprasellar region were completely resected. Patients recovered normally with uneventful postoperative outcomes and were followed-up for at least six months after surgery with no neurological deficits noted.

CONCLUSIONS

The EEA for resection of TSMs is feasible, safe, and effective, with fewer complications and lower mortality than other surgical methods. This a promising surgical approach.