title: [Microsurgical management of tuberculum sellae meningiomas].
abstract: OBJECTIVE
  To explore the approach and efficacy of microsurgery for tuberculum sellae meningiomas.
  
  
  METHODS
  The clinical data of 56 patients with tuberculum sellae meningiomas treated at our department from 1991 - 2009 were analyzed retrospectively. There were 20 males and 36 females with an age range of 32 - 65 years old (mean: 46). All patients underwent microsurgery through pterional, unilateral subfrontal, orbitozygomatic or supraorbital keyhole approach.
  
  
  RESULTS
  Among these patients, there were total resection (n = 51) and subtotal resection (n = 5). Postoperatively, 53 patients recovered well, 2 had a mild disability, 1 suffered a severe disability and there was no mortality.
  
  
  CONCLUSIONS
  Most cases of tuberculum sellae meningiomas can be removed safely and totally. Several approaches may be employed to achieve the best outcomes. Microsurgery can markedly boost the total resection rate of tuberculum salle meningiomas and lower the postoperative complications and mortality.
authors.affiliation: Department of Neurosurgery, Beijing Hospital, Beijing 100730, China. yym5182002@yahoo.com.cn
authors.forename: Yu-ming
authors.initials: YM
authors.lastname: Yang
authors.forename: Zuo-wei
authors.initials: ZW
authors.lastname: Wang
authors.forename: Hong-zhi
authors.initials: HZ
authors.lastname: Jiang
authors.forename: Cheng
authors.initials: C
authors.lastname: Sha
authors.forename: Qing-guo
authors.initials: QG
authors.lastname: Yuan
authors.forename: Hong-wen
authors.initials: HW
authors.lastname: Xie
authors.forename: Da-ming
authors.initials: DM
authors.lastname: Wang
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008577:Meningeal Neoplasms / Q000601:surgery*; D008579:Meningioma / Q000601:surgery*; D008866:Microsurgery; D008875:Middle Aged; D019635:Neurosurgical Procedures; D012189:Retrospective Studies; D012658:Sella Turcica / Q000601:surgery*; D016896:Treatment Outcome