title: Endoscopic Endonasal Approach for Removal of Tuberculum Sellae Meningiomas.
abstract: Tuberculum sellae meningiomas are challenging lesions; their critical location and often insidious growth rate enables significant distortion of the superjacent optic apparatus before the patient notices any visual impairment. This article describes the technical nuances, selection criteria and complication avoidance strategies for the endonasal resection of tuberculum sellae meningiomas. A stepwise description of the surgical technique is presented; indications, adjuvant technologies, pitfalls and the relevant anatomy are also reviewed. Tuberculum sellae meningiomas may be safely and effectively resected through the endonasal route; invasion of the optic canals does not represent a limitation.
authors.affiliation: Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, 410 West 10th Avenue, Columbus, OH 43210, USA.
authors.forename: Leo F S
authors.initials: LF
authors.lastname: Ditzel Filho
authors.affiliation: Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, 410 West 10th Avenue, Columbus, OH 43210, USA; Department of Otolaryngology - Head & Neck Surgery, Wexner Medical Center, The Ohio State University, 410 West 10th Avenue, Columbus, OH 43210, USA. Electronic address: Daniel.Prevedello@osumc.edu.
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Prevedello
authors.affiliation: Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, 410 West 10th Avenue, Columbus, OH 43210, USA.
authors.forename: Ali O
authors.initials: AO
authors.lastname: Jamshidi
authors.affiliation: Department of Otolaryngology - Head & Neck Surgery, Wexner Medical Center, The Ohio State University, 410 West 10th Avenue, Columbus, OH 43210, USA.
authors.forename: Ricardo L
authors.initials: RL
authors.lastname: Dolci
authors.affiliation: Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, 410 West 10th Avenue, Columbus, OH 43210, USA.
authors.forename: Edward E
authors.initials: EE
authors.lastname: Kerr
authors.affiliation: Department of Otolaryngology - Head & Neck Surgery, Wexner Medical Center, The Ohio State University, 410 West 10th Avenue, Columbus, OH 43210, USA.
authors.forename: Raewyn
authors.initials: R
authors.lastname: Campbell
authors.affiliation: Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, 410 West 10th Avenue, Columbus, OH 43210, USA; Department of Otolaryngology - Head & Neck Surgery, Wexner Medical Center, The Ohio State University, 410 West 10th Avenue, Columbus, OH 43210, USA.
authors.forename: Bradley A
authors.initials: BA
authors.lastname: Otto
authors.affiliation: Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, 410 West 10th Avenue, Columbus, OH 43210, USA; Department of Otolaryngology - Head & Neck Surgery, Wexner Medical Center, The Ohio State University, 410 West 10th Avenue, Columbus, OH 43210, USA.
authors.forename: Ricardo L
authors.initials: RL
authors.lastname: Carrau
authors.forename: Amin
authors.initials: A
authors.lastname: Kassam
mesh_terms: D006801:Humans; D008577:Meningeal Neoplasms / Q000601:surgery*; D008579:Meningioma / Q000601:surgery*; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods; D044583:Neuroendoscopy / Q000379:methods*; D009666:Nose; D013100:Sphenoid Bone / Q000601:surgery*; D016896:Treatment Outcome
keywords: Endonasal; Endoscopic; Meningioma; Skull base; Tuberculum sellae