الفهرس | Only 14 pages are availabe for public view |
Abstract Endoscopic Endonasal Transsphenoidal Surgery (EETS) has been predestined and evolved since its incipient description. However, tumor size and extrasellar extensions of pituitary adenomas remain a challenge for disease control after surgery. Endoscopic skull base surgery requires a greater collaboration among the surgical team members particularly, neurosurgeon and ENT surgeon who are required to understand the nuances of each other’s field. Sellar reconstruction with intrasellar packing following a standard endoscopic resection of pituitary macroadenomas remains a subject for clinical and radiological arguments particularly, when an intraoperative cerebrospinal fluid (CSF) leakage is absent. The results of sellar reconstruction without intrasellar packing are not inferior to other techniques with packing and even show more advantages, which made it at least the preferred reconstruction technique if no intraoperative CSF leakage is evident. |