Transnasal surgery in the treatment of craniopharyngiomas

The results of transnasal-transsphenoidal surgery in 31 patients with craniopharyngioma are evaluated. To assess the value of transnasal surgery in cases with visual impairment, the results are compared to cases operated transcranially. There was only one death occurred on the 5th postoperative day....

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Bibliographic Details
Published inActa neurochirurgica Vol. 83; no. 1-2; p. 1
Main Authors König, A, Lüdecke, D K, Herrmann, H D
Format Journal Article
LanguageEnglish
Published Austria 01.03.1986
Subjects
Adolescent
Adult
Aged
Child
Craniopharyngioma - surgery
Cysts - surgery
Female
Humans
Male
Middle Aged
Neoplasm Recurrence, Local - surgery
Nose
Pituitary Hormones - metabolism
Pituitary Neoplasms - surgery
Postoperative Complications
Quality of Life
Vision Disorders - therapy
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Summary:The results of transnasal-transsphenoidal surgery in 31 patients with craniopharyngioma are evaluated. To assess the value of transnasal surgery in cases with visual impairment, the results are compared to cases operated transcranially. There was only one death occurred on the 5th postoperative day. Two patients developed rhinoliquorrhoea, and one a transient oculomotor palsy. Recurrences leading to re-operation occurred frequently after mere cyst aspiration and only once after subtotal tumour removal. Normal glandotrope functions of the hypophysis were preserved in 75%, disturbed functions were normalized in 19% of primary transnasal surgery. Visual disturbances were normalized or improved in 94% cases after transnasal surgery, whereas an improvement was observed in only 65% after transcranial surgery. A deterioration never appeared after transnasal surgery, but in 26% after transcranial operations.
ISSN:0001-6268
DOI:10.1007/bf01420500