Article
Otorhinolaryngology
Tapan D. Patel, Bianca Rullan-Oliver, Heather Ungerer, Phillip B. Storm, Michael A. Kohanski, Nithin D. Adappa, James N. Palmer
Summary: This study retrospectively analyzed the long-term outcomes of pediatric craniopharyngioma patients undergoing endoscopic endonasal resection. The results showed that this approach achieved high rates of tumor resection with low rates of disease recurrence, but hypothalamic-pituitary dysfunction remained a significant postoperative morbidity in both approaches.
INTERNATIONAL FORUM OF ALLERGY & RHINOLOGY
(2022)
Article
Clinical Neurology
Saniya S. Godil, Umberto Tosi, Mina Gerges, Andrew L. A. Garton, Georgiana A. Dobri, Ashutosh Kacker, Abtin Tabaee, Vijay K. Anand, Theodore H. Schwartz
Summary: The study showed that gross-total resection (GTR) in craniopharyngioma surgery resulted in improved tumor control, better visual outcome, and better functional recovery compared to subtotal resection (STR). However, patients with GTR had a higher rate of diabetes insipidus.
JOURNAL OF NEUROSURGERY
(2022)
Article
Surgery
Guilherme Finger, Kyle C. Wu, Sanyia S. Godil, Ricardo L. Carrau, Douglas Hardesty, Daniel M. Prevedello
Summary: Optimal planning and minimally invasive surgical approach are crucial for complete craniopharyngiomas resection. The intraoperative use of ultrasound guidance helps guide the surgical process and determine the extent of tumor removal. The utilization of endonasal ultrasound technology allows for minimal manipulation of surrounding structures and an increased success rate.
FRONTIERS IN SURGERY
(2023)
Article
Medicine, Research & Experimental
Arjun K. Parasher, David K. Lerner, Stephen P. Miranda, Jennifer E. Douglas, Jordan T. Glicksman, Tyler Alexander, Theodore Lin, Darren Ebesutani, Michael Kohanski, John Y. K. Lee, Phillip B. Storm, Bert W. O'Malley, Daniel Yoshor, James N. Palmer, M. Sean Grady, Nithin D. Adappa
Summary: The study aimed to compare the in-hospital cost implications of an expanded endoscopic endonasal approach (EEEA) to the traditional open transcranial approach for craniopharyngioma resection. The results showed that the EEEA was associated with shorter postoperative length of stay and lower total in-hospital cost.
Article
Clinical Neurology
Thiago Albonette Felicio, Rafael Martinez Perez, Kyle Vankoevering, Douglas A. Hardesty, Bradley A. Otto, Ricardo L. Carrau, Daniel M. Prevedello
Summary: The study describes a new reconstructive technique called the Soft Gasket Seal (SGS) for ventral skull base tumors, showing a tendency of lower complications compared to the standard technique, while avoiding donor site morbidity.
WORLD NEUROSURGERY
(2022)
Review
Oncology
Min Kyun Na, Bohyoung Jang, Kyu-Sun Choi, Tae Ho Lim, Wonhee Kim, Youngsuk Cho, Hyun-Goo Shin, Chiwon Ahn, Jae Guk Kim, Juncheol Lee, Sae Min Kwon, Heekyung Lee
Summary: This systematic review and meta-analysis compared the benefits and limitations of the transcranial approach (TCA) and the extended endoscopic endonasal approach (EEA) in craniopharyngioma resection. The results showed that EEA outperformed TCA in terms of gross total resection rate, visual improvement, and complications other than cerebrospinal fluid leakage.
FRONTIERS IN ONCOLOGY
(2022)
Article
Clinical Neurology
Lei Cao, Wentao Wu, Jie Kang, Kefan Cai, Chuzhong Li, Chunhui Liu, Haibo Zhu, Suming Gen, Yazhuo Zhang, Songbai Gui
Summary: This study evaluated the safety and feasibility of endoscopic endonasal approach (EEA) for the resection of intrinsic third ventricular craniopharyngiomas (IVCs) based on MRI topographical diagnosis. The results showed that EEA is a safe and efficacious approach for achieving gross total resection of IVCs.
NEUROSURGICAL REVIEW
(2022)
Article
Clinical Neurology
Xuefei Shou, Ming Shen, Wenqiang He, Yongfei Wang
Summary: This study retrospectively analyzes the treatment method of two third ventricle craniopharyngiomas. It concludes that a combined pre-retrochiasmatic approach using an endoscopic endonasal technique can effectively expose and completely remove the tumor inside the third ventricle with minimal injury to the hypothalamus and optic nerve.
ACTA NEUROCHIRURGICA
(2022)
Article
Clinical Neurology
Zhengyuan Chen, Zengyi Ma, Wenqiang He, Xuefei Shou, Zhao Ye, Yichao Zhang, Qilin Zhang, Nidan Qiao, Xiang Zhou, Xiaoyun Cao, Min He, Zhaoyun Zhang, Hongying Ye, Yiming Li, Shiqi Li, Yao Zhao, Ming Shen, Yongfei Wang
Summary: Gross total resection (GTR) is the only independent predictor of recurrence/progression after endoscopic endonasal approach (EEA) surgery for suprasellar craniopharyngiomas. Preserving the pituitary stalk does not seem to increase the risk of non-GTR and tumor recurrence/progression, and might reduce the risk of surgically induced hypothyroidism and diabetes insipidus. Stalk preservation is recommended in peripheral type suprasellar craniopharyngiomas with normal pituitary function, especially in cases without hypothyroidism or diabetes insipidus.
FRONTIERS IN NEUROLOGY
(2021)
Article
Clinical Neurology
Danyang Wu, Ling Xu, Sungel Xie, Feiji Sun, Mingxiang Xie, Pei Wang, Shunwu Xiao
Summary: This study explored the surgical approach and technique of neuroendoscopic endonasal resection of pediatric craniopharyngiomas and evaluated its safety and effectiveness in children. The results showed that this approach achieved gross-total resection of the tumor and had good treatment outcomes in children with craniopharyngiomas.
FRONTIERS IN NEUROLOGY
(2022)
Review
Oncology
Mingchao Zhang, Jian Wen Liao, Jingyang Chi, Huan Yu, Jianmin Kang
Summary: Craniopharyngioma is a challenging brain tumor, and the endoscopic endonasal approach (EEA) has gained popularity as a new method for its treatment. However, there have been no reported cases of using EEA to treat craniopharyngioma complicated with intracranial aneurysm.
Article
Clinical Neurology
Come Laurent, Stephan Gaillard, Bertrand Baussart
Summary: The expanded endoscopic endonasal approach is a safe and effective surgical method for treating midline suprasellar craniopharyngiomas with hypothalamic involvement.
ACTA NEUROCHIRURGICA
(2022)
Article
Neurosciences
Jorge F. Aragon-Arreola, Ricardo Marian-Magana, Rodolfo Villalobos-Diaz, German Lopez-Valencia, Tania M. Jimenez-Molina, J. Tomas Moncada-Habib, Marcos V. Sangrador-Deitos, Juan L. Gomez-Amador
Summary: Craniopharyngiomas (CPs) are benign tumors derived from Rathke's cleft, commonly found in the dorsum sellae and accounting for 2% of intracranial neoplasms. CPs are complex intracranial tumors due to their invasiveness, involving neurovascular structures in the sellar and parasellar regions, which poses a major challenge for neurosurgeons and results in significant postoperative morbidity. The endoscopic endonasal approach (EEA) provides a simpler way for CPs resection, offering direct access to the tumor and visualization of surrounding structures, reducing inadvertent injuries, and improving patient outcomes. This article provides a comprehensive description of the EEA technique and surgical nuances in CPs resection, including three illustrated clinical cases.
Article
Clinical Neurology
Xiaorong Tao, Xiaocui Yang, Xing Fan, Hao You, Yanwen Jin, Jiajia Liu, Dongze Guo, Chuzhong Li, Hui Qiao
Summary: The study demonstrates the effectiveness of intraoperative VEP monitoring in predicting post-operative visual deterioration in craniopharyngioma resection via EEEA. An extension over 8.61% in VEP latency is identified as a critical cut-off value for predicting post-operative visual deterioration.
FRONTIERS IN NEUROLOGY
(2021)
Article
Clinical Neurology
Ning Qiao, Xiaocui Yang, Chuzhong Li, Guofo Ma, Jie Kang, Chunhui Liu, Lei Cao, Yazhuo Zhang, Songbai Gui
Summary: Intraoperative VEP monitoring during EEES for craniopharyngioma can effectively predict postoperative visual changes in adult patients. Tight adhesion and larger tumor volume are strong predictors of postoperative visual impairment.
JOURNAL OF NEUROSURGERY
(2021)