title: [Clinical evaluations of lateral supraorbital microsurgical approach for sellar tumors].
abstract: OBJECTIVE
  To assess the efficacy and safety of lateral supraorbital (LSO) approach for removing sellar tumors.
  
  
  METHODS
  Between June 2011 and December 2011, 23 patients with neoplastic lesions underwent surgery via a LSO approach. Their clinical manifestations, neuroradiological findings, microsurgical techniques and post-discharge outcomes were analyzed. There were pituitary adenoma (n = 11, 48%), tuberculum sellae meningioma (n = 6, 26%) and craniopharyngioma (n = 6, 26%).
  
  
  RESULTS
  Complete tumor removal was achieved in 21 patients. There was no postoperative onset of cerebrospinal fluid leakage or new visual deficits. One patient had intracranial infection and another developed hematoma. The median Karnofsky score at discharge was 87.4 (0-100). The Glasgow outcome scale at discharge was 4.6 (1-5). Among them, the outcomes were favorable (n = 21), severe disability (n = 1) and surgical mortality (n = 1).
  
  
  CONCLUSIONS
  Sellar tumors may be removed via a LSO approach with relatively low morbidity and mortality. And this fast and simple procedure is comparable to more extensive, complex, and time-consuming approaches.
authors.affiliation: Department of Neurosurgery, First Affiliated Hospital, Suzhou University, Suzhou 215006, China.
authors.forename: Yiming
authors.initials: Y
authors.lastname: Yin
authors.affiliation: Department of Neurosurgery, First Affiliated Hospital, Suzhou University, Suzhou 215006, China.
authors.forename: Gang
authors.initials: G
authors.lastname: Chen
authors.affiliation: Department of Neurosurgery, First Affiliated Hospital, Suzhou University, Suzhou 215006, China. Email: Dr.Zhongwang@gmail.com.
authors.forename: Zhong
authors.initials: Z
authors.lastname: Wang
mesh_terms: D000236:Adenoma / Q000601:surgery*; D003397:Craniopharyngioma / Q000601:surgery*; D006801:Humans; D008577:Meningeal Neoplasms / Q000601:surgery*; D008866:Microsurgery; D019635:Neurosurgical Procedures; D010911:Pituitary Neoplasms / Q000601:surgery*; D016896:Treatment Outcome