Anatomical landmarks for positioning the head in preparation for the transsphenoidal approach: The spheno-sellar point

Mostrar otras versiones (1)

The transnasal approach is the most utilized approach to the sellar region. This study was conducted to identify an anatomical landmark on the lateral surface of the head that corresponds to the midpoint of the sellar floor at the level of sphenoidal rostrum. This point, lined up with the nostril, s...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autor principal: Campero, A.
Otros Autores: Socolovsky, M., Torino, R., Martins, C., Yasuda, A., Rhoton, A.L
Formato: Capítulo de libro
Lenguaje:Inglés
Publicado: 2009
Materias:
CADAVER
Acceso en línea:Registro en Scopus
DOI
Handle
Registro en la Biblioteca Digital
Aporte de:Registro referencial: Solicitar el recurso aquí
Biblioteca Central Dr. Luis F. Leloir (FCEN) de Universidad de Buenos Aires
LEADER 09267caa a22009857a 4500
001 PAPER-23160
003 AR-BaUEN
005 20230518205448.0
008 190411s2009 xx ||||fo|||| 00| 0 eng|d
024 7 |2 scopus  |a 2-s2.0-67651165292 
040 |a Scopus  |b spa  |c AR-BaUEN  |d AR-BaUEN 
030 |a BJNEE 
100 1 |a Campero, A. 
245 1 0 |a Anatomical landmarks for positioning the head in preparation for the transsphenoidal approach: The spheno-sellar point 
260 |c 2009 
270 1 0 |m Socolovsky, M.La Pampa 1175, Torre 2 Apt 5 A, Buenos Aires 1428, Argentina; email: socolovsky@fibertel.com.ar 
506 |2 openaire  |e Política editorial 
504 |a Rhoton Jr., A.L., The sellar region (2002) Neurosurgery, 51 (SUPPL. 1), pp. S335-S374 
504 |a Schloffer, H., Elfolgreiche operation eines hypophysen tumors auf nasalem wege (1907) Wien Klin Wchnschr, 20, pp. 621-624 
504 |a Landolt, A.M., History of pituitary surgery from the technical aspect (2001) Neurosurg Clin N Am, 12, pp. 37-44 
504 |a Guiot G. Considerations of the surgical treatment of pituitary adenomas. In: Fahlbusch R, Werder KV, editors. Treatment of Pituitary Adenomas. 1st European workshop, Thieme, Stuttgart, 1978;202-4; Hardy, J., Transsphenoidal microsurgery of the normal and pathological pituitary (1969) Clin Neurosurg, 16, pp. 185-194 
504 |a Liu, J.K., Das, K., Weiss, M.H., Laws Jr, E.R., Couldwell, W.T., The history and evolution of transsphenoidal surgery (2002) J Neurosurg, 95, pp. 1083-1096 
504 |a Basso A, Campero A, Previgliano I. Cirugía de los tumores hipofisarios. In: Stalldecker G, editor. Hipófisis. Fisiopatología. Buenos Aires, Mediciencia SA;2004;389-402 (In Spanish); Laws, E.R., Editorial comment (1987) Neurosurgery, 20, p. 293 
504 |a Zervas, N.T., (1984) Secretory Tumors of the Pituitary Gland, , Surgical results in pituitary adenomas: results of an international survey. P377, editors, Raven Press, New York 
504 |a Griffith, H.B., Veerapen, R., A direct transnasal approach to the sphenoid sinus. Technical note (1987) J Neurosurg, 66, pp. 140-142 
504 |a Badie, B., Nguyen, P., Preston, J.K., Endoscopic-guided direct endonasal approach for pituitary surgery (2000) Surg Neurol, 53, pp. 168-173 
504 |a De Divitiis, E., Cappabianca, P., Cavallo, L.M., Endoscopic transsphenoidal approach: Adaptability of the procedure to different sellar lesions (2002) Neurosurgery, 51, pp. 699-707 
504 |a Jankovsky, R., Auque, J., Simon, C., Marchal, J.C., Hepner, H., Wayoff, M., Endoscopic pituitary surgery (1992) Laryngoscope, 102, pp. 198-202 
504 |a Jho, H.D., Alfieri, A., Endoscopic transsphenoidal pituitary surgery: Various surgical techniques and recommended steps for procedural transition (2000) Br J Neurosurg, 14, pp. 432-440 
504 |a Jho, H.D., Carrau, R.L., Ko, Y., Endoscopic pituitary surgery (1996) Neurosurgical Operative Atlas, 5, pp. 1-12. , Rengachary SS, Wilkins RH, editors, Illinois, American Association of Neurological Surgeons; 
504 |a Tucker, H.M., Hahm, J.F., Transnasal transseptal sphenoidal approach to hypophysectomy (1982) Laryngoscope, 92, pp. 55-57 
504 |a Chandler, W.F., Transsphenoidal surgical treatment of cushing's disease (1995) Neurosurgical Operative Atlas, 4, pp. 165-172. , Rengachary SS, Wilkins RH, editors, Illinois, American Association of Neurological Surgeons; 
504 |a Zada, G., Kelly, D.F., Cohan, P., Wang, C., Swerdloff, R., Endonasal transsphenoidal approach for pituitary adenomas and other sellar lesions: An assessment of efficacy, safety, and patient impressions (2003) J Neurosurg, 98, pp. 250-258 
504 |a Fahlbusch, R., Buchfelder, M., The trassphenoidal approach to invasive sellar and clival lesions (1993) Surgery of Cranial Base Tumors, pp. 337-349. , Sekhar LN, Janecka IP, editors, New York, Raven Press 
504 |a Hardy, J., McCutcheon, I.E., Pituitary microadenomas (1993) Brain Surgery: Complication Avoidance and Management, pp. 276-295. , Apuzzo MLJ, editor, New York, Churchill Livingstone 
504 |a Parent, A.D., Surgical management of prolactinomas (1993) Neurosurgical Operative Atlas, 3, pp. 203-212. , Rengachary SS, Wilkins RH, editors, Illinois, American Association of Neurological Surgeons; 
504 |a Tindall, G.T., Woodard, E.J., Barrow, D.L., Transsphenoidal excision of macroadenomas of the pituitary gland (1991) Neurosurgical Operative Atlas, 1, pp. 287-298. , Rengachary SS, Wilkins RH, editors, Illinois, American Association of Neurological Surgeons; 
504 |a Hamberger, C.A., Hammer, G., Norlen, G., Transantrosphenoidal hypophisectomy (1961) Arch Otolaryngol, 74, pp. 2-8 
504 |a Renn, W.H., Rhoton, A.L., Microsurgical anatomy of the sellar region (1975) J Neurosurg, 43, pp. 288-298 
520 3 |a The transnasal approach is the most utilized approach to the sellar region. This study was conducted to identify an anatomical landmark on the lateral surface of the head that corresponds to the midpoint of the sellar floor at the level of sphenoidal rostrum. This point, lined up with the nostril, simulates the surgical path and facilitates the transnasal access to the sella turcica. Four adult, formalin-fixed and silicon-injected cadaveric heads, and ten dried skulls were used for laboratory dissection. The heads and skulls were sectioned along the midline; and the spheno-sellar point, corresponding to the midpoint of the sellar floor at the level of sphenoid rostrum, was determined. The spheno-sellar point was plotted on the lateral surface of the skull, and its position measured relative to the external acoustic meatus. Linking the spheno-sellar point with the nostril created the spheno-nostril line. This line represents the surgical path to be taken for direct access to the sphenoid rostrum, and was used to align the cadaveric heads as in surgery. The endonasal transsphenoidal approach was then utilized in one hundred and two adult patients with sellar lesions, using the spheno-sellar point and the spheno-nostril line as the superficial landmarks to guide the approach. The results of this clinical experience are summarized. The spheno-sellar point was found to be located an average of 40.1mm (SD2.9mm) anterior and 23.3mm (SD3.2mm) superior to the external acoustic meatus. The spheno-nostril line represents the straight surgical path to the sphenoidal rostrum. This landmark was used in 102 correlative transnasal surgeries for sellar lesions of adult patients, and has allowed an easy and straightforward access to the sella. In only 3 cases with poor pneumatisation of the sphenoid sinus (presellar type), the actual location of the surgical instruments had to be confirmed by fluoroscopy. The application of the spheno-sellar point and the spheno-nostril line is a fast, reliable and very simple way to facilitate transsphenoidal surgery, and their use may avoid complications associated with misdirection of this approach. Its use may be limited in cases of poor pneumatisation of the sphenoid sinus, where fluoroscopic guidance could be necessary as a rule.  |l eng 
593 |a Department of Neurological Surgery, British Hospital of Buenos Aires, Argentina 
593 |a Department of Neurological Surgery, University of Florida, Gainesville, FL, United States 
593 |a La Pampa 1175, Torre 2 Apt 5 A, Buenos Aires 1428, Argentina 
690 1 0 |a ENDONASAL TRANSSPHENOIDAL APPROACH 
690 1 0 |a MICROSURGICAL ANATOMY 
690 1 0 |a PITUITARY ADENOMA 
690 1 0 |a SPHENO-SELLAR POINT 
690 1 0 |a SPHENOID SINUS 
690 1 0 |a ARTICLE 
690 1 0 |a AUDITORY CANAL 
690 1 0 |a FLUOROSCOPY 
690 1 0 |a HEAD 
690 1 0 |a HUMAN 
690 1 0 |a PRIORITY JOURNAL 
690 1 0 |a RELIABILITY 
690 1 0 |a SELLA TURCICA 
690 1 0 |a SIMULATION 
690 1 0 |a SKULL 
690 1 0 |a SPHENOID SINUS 
690 1 0 |a SURGICAL ANATOMY 
690 1 0 |a SURGICAL APPROACH 
690 1 0 |a TRANSSPHENOIDAL SURGERY 
690 1 0 |a ADULT 
690 1 0 |a HUMANS 
690 1 0 |a NASAL CAVITY 
690 1 0 |a NEUROSURGICAL PROCEDURES 
690 1 0 |a PITUITARY NEOPLASMS 
690 1 0 |a SELLA TURCICA 
690 1 0 |a SPHENOID BONE 
690 1 0 |a SPHENOID SINUS 
650 1 7 |2 spines  |a CADAVER 
650 1 7 |2 spines  |a CADAVER 
700 1 |a Socolovsky, M. 
700 1 |a Torino, R. 
700 1 |a Martins, C. 
700 1 |a Yasuda, A. 
700 1 |a Rhoton, A.L. 
773 0 |d 2009  |g v. 23  |h pp. 282-286  |k n. 3  |p Br. J. Neurosurg.  |x 02688697  |t British Journal of Neurosurgery 
856 4 1 |u https://www.scopus.com/inward/record.uri?eid=2-s2.0-67651165292&doi=10.1080%2f02688690802630056&partnerID=40&md5=295c6c690eb5ae13c4cb99b9709d963f  |y Registro en Scopus 
856 4 0 |u https://doi.org/10.1080/02688690802630056  |y DOI 
856 4 0 |u https://hdl.handle.net/20.500.12110/paper_02688697_v23_n3_p282_Campero  |y Handle 
856 4 0 |u https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02688697_v23_n3_p282_Campero  |y Registro en la Biblioteca Digital 
961 |a paper_02688697_v23_n3_p282_Campero  |b paper  |c PE 
962 |a info:eu-repo/semantics/article  |a info:ar-repo/semantics/artículo  |b info:eu-repo/semantics/publishedVersion 
999 |c 84113 

Ejemplares similares