title: [Sellar remodeling: a surgical option for primary empty sella syndrome].
abstract: BACKGROUND
  The empty sella is an entity that only rarely presents signs and symptoms. When noted, visual field deficits are an indication for surgical management.
  
  
  METHODS
  We studied twenty patients with primary empty sella and visual field deficits surgically treated with a technique termed by us as "sellar remodeling." We treated 19 females and 1 male. Aside from visual deficits, all participants reported headache. We reported an increase in prolactin serum level in three cases. Patients with an increase in cerebrospinal fluid pressure were excluded. The surgical procedure involved placing through a transsphenoidal route an autologus graft formed by fat, aponeurosis and two bone lamina, with precise dimensions according to each patient's sella turcica.
  
  
  RESULTS
  After surgery, visual deficits improved in 18 patients and headache in 17. Two patients displayed normal prolactin levels. No serious complications were reported during surgery.
  
  
  CONCLUSIONS
  Sellar remodeling is a precise, simple, safe and inexpensive technique that significantly improves symptoms such as visual deficits and headache observed in primary empty sella syndrome.
authors.affiliation: Servicio de Neurocirugía, Hospital de Especialidades, México D.F., México. gguinto@prodigy.net.mx
authors.forename: Gerardo
authors.initials: G
authors.lastname: Guinto-Balanzar
authors.forename: Moisés
authors.initials: M
authors.lastname: Mercado-Atri
authors.forename: Patricia
authors.initials: P
authors.lastname: Guinto-Balanzar
authors.forename: Elisa
authors.initials: E
authors.lastname: Nishimura-Meguro
authors.forename: Miguel
authors.initials: M
authors.lastname: Abdo-Toro
authors.forename: Norma
authors.initials: N
authors.lastname: Aréchiga-Ramos
authors.forename: Bárbara
authors.initials: B
authors.lastname: Nettel-Rueda
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation; D000328:Adult; D016025:Bone Transplantation; D004652:Empty Sella Syndrome / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013514:Surgical Procedures, Operative / Q000379:methods