Endoscopic Endonasal Approach for Craniopharyngiomas
Behairy, H., Almelesy, A., Daoush, M. (2019). Endoscopic Endonasal Approach for Craniopharyngiomas. EKB Journal Management System, 77(3), 5121-5127. doi: 10.21608/ejhm.2019.50259
Hamdy M. Behairy; Adel R. Almelesy; Mohamed M. Daoush. "Endoscopic Endonasal Approach for Craniopharyngiomas". EKB Journal Management System, 77, 3, 2019, 5121-5127. doi: 10.21608/ejhm.2019.50259
Behairy, H., Almelesy, A., Daoush, M. (2019). 'Endoscopic Endonasal Approach for Craniopharyngiomas', EKB Journal Management System, 77(3), pp. 5121-5127. doi: 10.21608/ejhm.2019.50259
Behairy, H., Almelesy, A., Daoush, M. Endoscopic Endonasal Approach for Craniopharyngiomas. EKB Journal Management System, 2019; 77(3): 5121-5127. doi: 10.21608/ejhm.2019.50259

Endoscopic Endonasal Approach for Craniopharyngiomas

The Egyptian Journal of Hospital Medicine
Article 7, Volume 77, Issue 3, October 2019, Page 5121-5127  XML PDF (436.1 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2019.50259
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Authors
Hamdy M. Behairy1; Adel R. Almelesy1; Mohamed M. Daoush email 2
1Neurosurgery Department, Faculty of Medicine, Al-Azhar University, Cairo
2Neurosurgery Department, Shebin El Kom Teaching Hospital, Egypt
Abstract
Background: Craniopharyngiomas are challenging tumors that most frequently occur in the sellar or suprasellar regions. The endoscopic endonasal transsphenoidal approach is a minimal-invasive technique for managing craniopharyngiomas. Objective: The aim of this study was to evaluate endoscopic endonasal trans-sphenoidal approach in management of craniopharyngioma as regard the indications, operative difficulties, post-operative complications and outcomes. Patients and methods: An analytical prospective study conducted on 10 Craniopharyngioma patients treated via endoscopic endonasal, trans-sphenoid approach in Al-Azhar University Hospitals. Follow up of patients done clinically and radiologically over 6 months. Results: The study included 10 patients, 2 (20%) males and 8 (80%) females. Ages ranged from 19 to 60 years (mean age 39.5 years). Gross total resection was achieved in 7 patients (70%). The most common surgical complications in our series were diabetes insipidus (DI) and cerebrospinal fluid (CSF) leakage in 5 patients (50%) and 3 patients (30%) respectively. None of our patients suffered from worsening of endocrinological or visual outcome postoperatively. Conclusion: To conclude that endoscopic endonasal approach (EEA) is an effective surgical treatment for removal of craniopharyngiomas in terms of surgical outcome and tumor control.
Keywords
Craniopharyngioma; Endoscopy; Skull base surgery; Endoscopic Endonasal Approach; Transsphenoidal surgery
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