{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T12:53:41Z","timestamp":1783774421293,"version":"3.55.0"},"reference-count":56,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:p>Over the past decade, advances in endoscopic microsurgical techniques have resulted in an increasingly aggressive endonasal approach to tumors of the midline skull base. Meningiomas of the tuberculum sellae are often closely associated with cerebrovascular structures, and their removal has traditionally required a transcranial approach. An endonasal approach offers many advantages, including early tumor devascularization and tumor debulking (without manipulation of the optic apparatus), direct access to the medial optic canal, and a minimal-access corridor.<\/jats:p>\n                  <jats:p>Although recent articles have focused on techniques for reaching and approaching the area of the pathology (how to get there), the authors of this report discuss the technical nuances of endoscopic microsurgery when the operator is already \u201cthere.\u201d They describe their 6-step technique for endoscopic skull base bone removal, tumor dissection\/resection, and closure. They also augment their description with elaborate illustrations.<\/jats:p>","DOI":"10.3171\/2013.8.focus13338","type":"journal-article","created":{"date-parts":[[2013,12,1]],"date-time":"2013-12-01T03:33:23Z","timestamp":1385868803000},"page":"E6","source":"Crossref","is-referenced-by-count":45,"title":["Endoscopic extended transsphenoidal resection of tuberculum sellae meningiomas: nuances of neurosurgical technique"],"prefix":"10.3171","volume":"35","author":[{"given":"Charles","family":"Kulwin","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Indiana University, and Goodman Campbell Brain and Spine, Indianapolis, Indiana; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore H.","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery, Otolaryngology, and Neurology, Brain and Spine Center, Brain and Mind Research Institute, Weill Cornell Medical College, NewYork-Presbyterian Hospital, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron A.","family":"Cohen-Gadol","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Indiana University, and Goodman Campbell Brain and Spine, Indianapolis, Indiana; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1 Suppl Operative","key":"b1-0350006","series-title":"Neurosurgery","first-page":"58","article-title":"The importance and timing of optic canal exploration and decompression during endoscopic endonasal resection of tuberculum sella and planum sphenoidale meningiomas","volume":"71","author":"Attia","year":"2012"},{"key":"b2-0350006","series-title":"ORL J Otorhinolaryngol Relat Spec","first-page":"255","article-title":"Endoscopic versus open resection of tuberculum sellae meningiomas: a decision analysis","volume":"74","author":"Bohman","year":"2012"},{"key":"b3-0350006","series-title":"Adv Tech Stand Neurosurg","first-page":"151","article-title":"Extended endoscopic endonasal approach to the midline skull base: the evolving role of transsphenoidal surgery","volume":"33","author":"Cappabianca","year":"2008"},{"key":"b4-0350006","series-title":"Neurosurgery","first-page":"239","article-title":"Endonasal transsphenoidal removal of tuberculum sellae meningiomas: technical note","volume":"55","author":"Cook","year":"2004"},{"key":"b5-0350006","series-title":"Neurosurgery","first-page":"699","article-title":"Endoscopic transsphenoidal approach: adaptability of the procedure to different sellar lesions","volume":"51","author":"de Divitiis","year":"2002"},{"key":"b6-0350006","series-title":"Neurosurgery","first-page":"556","article-title":"Tuberculum sellae meningiomas: high route or low route? A series of 51 consecutive cases","volume":"62","author":"de Divitiis","year":"2008"},{"key":"b7-0350006","series-title":"World Neurosurg","first-page":"625","article-title":"Tuberculum sellae meningioma: the extended transsphenoidal approach\u2014for the virtuoso only?","volume":"73","author":"Frank","year":"2010"},{"key":"b8-0350006","series-title":"World Neurosurg","article-title":"Gasket seal closure for extended endonasal endoscopic skull base surgery: efficacy in a large case series","author":"Garcia-Navarro","year":"2011"},{"key":"b9-0350006","series-title":"Neurosurgery","first-page":"36","article-title":"Endoscopic endonasal resection of anterior cranial base meningiomas","volume":"63","author":"Gardner","year":"2008"},{"key":"b10-0350006","series-title":"Laryngoscope","first-page":"1882","article-title":"A novel reconstructive technique after endoscopic expanded endonasal approaches: vascular pedicle nasoseptal flap","volume":"116","author":"Hadad","year":"2006"},{"key":"b11-0350006","series-title":"Minim Invasive Neurosurg","first-page":"190","article-title":"Endoscopic endonasal approach to the optic nerve: a technical note","volume":"44","author":"Jho","year":"2001"},{"key":"b12-0350006","series-title":"J Neurooncol","first-page":"187","article-title":"Endoscopic transsphenoidal surgery","volume":"54","author":"Jho","year":"2001"},{"key":"b13-0350006","series-title":"Neurosurg Rev","first-page":"298","article-title":"The learning curve in endoscopic pituitary surgery and our experience","volume":"29","author":"Koc","year":"2006"},{"key":"b14-0350006","series-title":"J Neurol Surg A Cent Eur Neurosurg","first-page":"239","article-title":"Endoscopic endonasal versus open repair of anterior skull base CSF leak, meningocele, and encephalocele: a systematic review of outcomes","volume":"74","author":"Komotar","year":"2013"},{"key":"b15-0350006","series-title":"J Neurosurg","first-page":"400","article-title":"Endoscopic, endonasal extended transsphenoidal, transplanum transtuberculum approach for resection of suprasellar lesions","volume":"106","author":"Laufer","year":"2007"},{"issue":"5 Suppl 2","key":"b16-0350006","series-title":"Neurosurgery","first-page":"ONSE342","article-title":"\u201cGasket-seal\u201d watertight closure in minimal-access endoscopic cranial base surgery","volume":"62","author":"Leng","year":"2008"},{"issue":"5","key":"b17-0350006","series-title":"Neurosurg Focus","first-page":"E2","article-title":"Surgical nuances for removal of tuberculum sellae meningiomas with optic canal involvement using the endoscopic endonasal extended transsphenoidal transplanum transtuberculum approach","volume":"30","author":"Liu","year":"2011"},{"key":"b18-0350006","series-title":"World Neurosurg","article-title":"The transplanum transtuberculum approaches for suprasellar and sellar-suprasellar lesions: avoidance of cerebrospinal fluid leak and lessons learned","author":"Mascarenhas","year":"2013"},{"key":"b19-0350006","series-title":"Neurosurgery","first-page":"1019","article-title":"Tuberculum sellae meningiomas: clinical outcome considering different surgical approaches","volume":"59","author":"Nakamura","year":"2006"},{"issue":"6","key":"b20-0350006","series-title":"Neurosurg Focus","first-page":"E10","article-title":"Comparison of endoscopic and microscopic removal of pituitary adenomas: single-surgeon experience and the learning curve","volume":"25","author":"O'Malley","year":"2008"},{"key":"b21-0350006","series-title":"Otolaryngol Head Neck Surg","first-page":"575","article-title":"Endoscopic endonasal resection of anterior skull base meningiomas","volume":"147","author":"Padhye","year":"2012"},{"key":"b22-0350006","series-title":"J Neurosurg","first-page":"661","article-title":"Case-specific protocol to reduce cerebrospinal fluid leakage after endonasal endoscopic surgery. 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