The Role of Surgical Approaches in the Multi-Modal Management of Adult Craniopharyngiomas
Abstract
:1. Introduction
1.1. Epidemiology and Clinical Presentation
1.2. Radiologic and Histopathologic Features
2. Surgical Principles and Approaches
3. Description of Surgical Techniques
3.1. Endoscopic Endonasal Approach
3.2. Supraorbital Craniotomy
4. Adjunctive Treatment Modalities
4.1. Stereotactic Cyst Decompression
4.2. Radiation
5. Overall Approach to Surgical Treatment
6. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Advantages | Disadvantages |
---|---|
Minimally invasive leading to faster recovery, shorter hospital stay | Higher rates of CSF leak |
Higher rates of gross total resection | Limited reach to purely third ventricular tumors, which may be more amenable unilateral subfrontal or midline transcallosal approaches |
Higher rates of improved visual outcomes | Limited reach to tumors with significant lateral extension, which may be more amenable to unilateral pterional/orbitozygomatic/supraorbital approaches |
Lower endocrine complication rates | Steep learning curve, may require two surgeons fluent with endoscopic techniques |
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Hong, C.S.; Omay, S.B. The Role of Surgical Approaches in the Multi-Modal Management of Adult Craniopharyngiomas. Curr. Oncol. 2022, 29, 1408-1421. https://doi.org/10.3390/curroncol29030118
Hong CS, Omay SB. The Role of Surgical Approaches in the Multi-Modal Management of Adult Craniopharyngiomas. Current Oncology. 2022; 29(3):1408-1421. https://doi.org/10.3390/curroncol29030118
Chicago/Turabian StyleHong, Christopher S., and Sacit Bulent Omay. 2022. "The Role of Surgical Approaches in the Multi-Modal Management of Adult Craniopharyngiomas" Current Oncology 29, no. 3: 1408-1421. https://doi.org/10.3390/curroncol29030118
APA StyleHong, C. S., & Omay, S. B. (2022). The Role of Surgical Approaches in the Multi-Modal Management of Adult Craniopharyngiomas. Current Oncology, 29(3), 1408-1421. https://doi.org/10.3390/curroncol29030118