Pterional microsurgical treatment of sellar region tumors report of 17 cases.docVIP

 PAGE \* MERGEFORMAT 8 Pterional microsurgical treatment of sellar region tumors report of 17 cases [Keywords:] pterional microsurgery sellar region tumor Pituitary tumor, craniopharyngioma is the most common tumor of sellar region, others are tuberculum sellae meningioma, optic nerve glioma, and hypothalamic glioma, etc. pterional approach because the path is short, view big, as a Surgical treatment of sellar region tumors in the classic approach. We retrospectively analyzed 17 cases of sellar region tumor clinical data, evaluate the pterional sellar region tumors in micro-surgery treatment. 1 Data and methods 1.1 General Information From December 2007 to May 2008 our department were treated 17 cases of sellar region tumors. 6 cases were male and 11 females; age of 12 to 68 years of age; pituitary tumor, 8 cases of pituitary apoplexy in 1, craniopharyngioma in 5 cases, 2 cases of tuberculum sellae meningioma, cholesteatoma in 1 case. Most patients with headache and visual acuity, visual field changes and endocrine disorder mainly a small number of intracranial hypertension symptoms and severe coma. 1.2 surgical The patients were under general anesthesia intubation supine, head position bias opposite. Mayfield head frame is fixed, according to Yarsargil pterional approach, through the right side of craniotomy, after craniotomy, arc, or Y-shaped incision, and the lower the amount of temporal dura, its hanging in the sphenoid ridge in the vicinity of the periosteum, the close to the frontal lobe open sylvian cistern, separation, coagulation and cutting into the venous sinus butterfly roof, raising the temporal lobe, frontal lobe, you can see the optic nerve, carotid artery and the optic chiasm and below the tumor, the full anatomy of sellar region 4 anatomy gap, according to tumor size and anatomical location, select the appropriate clearance. To be divided into blocks of a large tumor removed, there are cystic structures could be the first out of part of