Endoscopic Transsphenoidal Selective Resection of the Medial Wall of the Cavernous Sinus for the Treatment of Functional Pituitary Adenomas
Year: 2025
Type: article
Abstract: Objective: To investigate the efficacy of endoscopic transsphenoidal selective resection of the medial wall of the cavernous sinus (MWCS) for the treatment of functional pituitary adenomas (FPAs). Methods: Clinical data of fifteen patients with FPAs were retrospectively analyzed. The MWCS on the side of the tumor was surgically resected. Results: In this study of fifteen patients, endocrine remission was observed in thirteen cases (86.7%) after surgery, and tumor cells in the MWCS were found in ten (66.7%) cases. No serious postoperative complications occurred in any patient. Conclusion: For FPAs characterized as Knosp grades 0 to 3, if there is no clear pseudocapsule or normal pituitary between the tumor and the MWCS during the operation, consideration of removal of the MWCS on that side may contribute to improved postoperative remission rates.
DOI: 10.1055/a-2706-1319
Authors: Xuanzhi Wang, Cheng Xufeng, Zheng Li, Fei Wang
Institution: University of Science and Technology of China
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4414904148