OBJECT The extended transsphenoidal approach is a less invasive method for removing purely suprasellar lesions compared with traditional transcranial approaches. Most advocates have used a sublabial incision and a microscope and have reported a significant risk of cerebrospinal fluid (CSF) leakage. The authors report on a series of purely endoscopic endonasal surgeries for resection of suprasel...

OBJECTIVE The aim of this presentation is to show that the sublabial transseptal transsphenoidal approach to pituitary adenomas is the least invasive anatomic route with the lowest postoperative complication rates. PATIENTS AND METHOD This study was based on a retrospective analysis of 276 patients with a diagnosis of pituitary adenoma who were surgically treated via the sublabial transspheno...

Copyright © 2009 by the Congress of Neurological Surgeons Initially described by Schloffer (21) and Cushing (9) and subsequently popularized by Guiot (12) and Hardy and Wigser (14), the transsphenoidal approach to the sella now represents the preferred approach for removing pituitary adenomas. Traditionally performed with a microscope and a sublabial incision, the implementation of the endoscop...

Juvenile nasopharyngeal angiofibroma (JNA) is a rare, benign and locally invasive tumor. Massive bleeding because of vascularity of tumor and postoperative recurrence are potential problems of management. Endonasal approach reduces the rate of postoperative recurrence, intraoperative bleeding, and complications of surgery, time of operation and duration of hospitalization. In this article, we r...

The transsphenoidal transplanum, transtuberculum approach to the suprasellar cistern, also called the “extended” transsphenoidal approach, has been used during the past 10 years by experienced transsphenoidal surgeons to remove a limited number of well-circumscribed suprasellar lesions (7, 8, 10, 17, 20–23, 29). Initially, a sublabial approach was generally used and visualization was provided w...