The evolution of the endonasal approach for craniopharyngiomas

Historical vignette

View More View Less
  • 1 Departments of Neurosurgery and
  • 2 Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $505.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00
Print or Print + Online

✓Craniopharyngiomas have always been an extremely challenging type of tumor to treat. The transsphenoidal route has been used for resection of these lesions since its introduction. The authors present a historical review of the literature from the introduction of the endonasal route for resection of craniopharyngiomas until the present. Abandoned early due to technological limitations, this approach has been expanded both in its application and in its anatomical boundaries with subsequent progressive improvements in outcomes. This expansion has coincided with advances in visualization devices, imaging guidance techniques, and anatomical understanding. The progression from the use of headlights, to microscopy, to endoscopy and fluoroscopy, and finally to modern intraoperative magnetic resonance–guided techniques, combined with collaboration between otolaryngologists and neurosurgeons, has provided the framework for the development of current techniques for the resection of sellar and suprasellar craniopharyngiomas.

Abbreviation used in this paper: CSF = cerebrospinal fluid.

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $505.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00

Contributor Notes

Address correspondence to: Amin Kassam, M.D., Department of Neurological Surgery, Suite B-400, Presbyterian University Hospital, 200 Lothrop Street, Pittsburgh, Pennsylvania 15213. email: kassamab@upmc.edu.
  • 1

    Apuzzo ML, , Heifetz MD, , Weiss MH, & Kurze T: Neurosurgical endoscopy using the side-viewing telescope. J Neurosurg 46:398400, 1977

  • 2

    Cappabianca P, , Alfieri A, , Colao A, , Cavallo LM, , Fusco M, & Peca C, : Endoscopic endonasal transsphenoidal surgery in recurrent and residual pituitary adenomas: technical note. Minim Invasive Neurosurg 43:3843, 2000

    • Search Google Scholar
    • Export Citation
  • 3

    Cappabianca P, , Cavallo LM, , Colao A, , Del Basso De Caro M, , Esposito F, & Cirillo S, : Endoscopic endonasal transsphenoidal approach: outcome analysis of 100 consecutive procedures. Minim Invasive Neurosurg 45:193200, 2002

    • Search Google Scholar
    • Export Citation
  • 4

    Cappabianca P, , Cavallo LM, & de Divitiis E: Endoscopic endonasal transsphenoidal surgery. Neurosurgery 55:933941, 2004

  • 5

    Carrau RL, , Jho HD, & Ko Y: Transnasal-transsphenoidal endoscopic surgery of the pituitary gland. Laryngoscope 106:914918, 1996

  • 6

    Chakrabarti I, , Amar AP, , Couldwell W, & Weiss MH: Long-term neurological, visual, and endocrine outcomes following transnasal resection of craniopharyngioma. J Neurosurg 102:650657, 2005

    • Search Google Scholar
    • Export Citation
  • 7

    Cohen-Gadol AA, , Liu JK, & Laws ER Jr: Cushing's first case of transsphenoidal surgery: the launch of the pituitary surgery era. J Neurosurg 103:570574, 2005

    • Search Google Scholar
    • Export Citation
  • 8

    Cook SW, , Smith Z, & Kelly DF: Endonasal transsphenoidal removal of tuberculum sellae meningiomas: technical note. Neurosurgery 55:239246, 2004

    • Search Google Scholar
    • Export Citation
  • 9

    Couldwell WT, , Weiss MH, , Rabb C, , Liu JK, , Apfelbaum RI, & Fukushima T: Variations on the standard transsphenoidal approach to the sellar region, with emphasis on the extended approaches and parasellar approaches: surgical experience in 105 cases. Neurosurgery 55:539550, 2004

    • Search Google Scholar
    • Export Citation
  • 10

    Cushing H: Intracranial Tumours. Notes upon a series of Two-Thousand Verified Cases with Surgical-Mortality Percentages Pertaining Thereto. Springfield, Il, Charles C Thomas, 1932

    • Search Google Scholar
    • Export Citation
  • 11

    de Divitiis E: Endoscopic transsphenoidal surgery: stone-in-the-pond effect. Neurosurgery 59:512520, 2006

  • 12

    de Divitiis E, & Cappabianca P: Microscopic and endoscopic transsphenoidal surgery. Neurosurgery 51:15271530, 2002

  • 13

    de Divitiis E, , Cappabianca P, , Gangemi M, & Cavallo LM: The role of the endoscopic transsphenoidal approach in pediatric neurosurgery. Childs Nerv Syst 16:692696, 2000

    • Search Google Scholar
    • Export Citation
  • 14

    de Divitiis E, , Cavallo LM, , Cappabianca P, & Esposito F: Extended endoscopic endonasal transsphenoidal approach for the removal of suprasellar tumors: part 2. Neurosurgery 60:4659, 2007

    • Search Google Scholar
    • Export Citation
  • 15

    DiPatri AJ Jr, & Prabhu V: A history of the treatment of craniopharyngiomas. Childs Nerv Syst 21:606621, 2005

  • 16

    Doglietto F, , Prevedello DM, , Jane JA Jr, , Han J, & Laws ER Jr: Brief history of endoscopic transsphenoidal surgery—from Philipp Bozzini to the First World Congress of Endoscopic Skull Base Surgery. Neurosurg Focus 19:6 E3, 2005

    • Search Google Scholar
    • Export Citation
  • 17

    Dumont AS, , Kanter AS, , Jane JA Jr, & Laws ER Jr: Extended transsphenoidal approach. Front Horm Res 34:2945, 2006

  • 18

    Dusick JR, , Esposito F, , Kelly DF, , Cohan P, , DeSalles A, & Becker DP, : The extended direct endonasal transsphenoidal approach for nonadenomatous suprasellar tumors. J Neurosurg 102:832841, 2005

    • Search Google Scholar
    • Export Citation
  • 19

    Fahlbusch R, , Honegger J, , Paulus W, , Huk W, & Buchfelder M: Surgical treatment of craniopharyngiomas: experience with 168 patients. J Neurosurg 90:237250, 1999

    • Search Google Scholar
    • Export Citation
  • 20

    Frank G, , Pasquini E, , Doglietto F, , Mazzatenta D, , Sciarretta V, & Farneti G, : The endoscopic extended transsphenoidal approach for craniopharyngiomas. Neurosurgery 59:1 Suppl ONS75ONS83, 2006

    • Search Google Scholar
    • Export Citation
  • 21

    Frank G, , Pasquini E, & Mazzatenta D: Extended transsphenoidal approach. J Neurosurg 95:917918, 2001

  • 22

    Gondim J, , Schops M, & Tella OI Jr: [Transnasal endoscopic surgery of the sellar region: study of the first 100 cases.]. Arq Neuropsiquiatr 61:836841, 2003

    • Search Google Scholar
    • Export Citation
  • 23

    Griffith HB: Endoneurosurgery: endoscopic intracranial surgery. Proc R Soc Lond B Biol Sci 195:261268, 1977

  • 24

    Guiot G, & Thibaut B: [Excision of pituitary adenomas by transsphenoidal route.]. Neurochirurgia (Stuttg) 1:133150, 1959. (Fr)

  • 25

    Guiot G, , Thibaut B, & Bourreau M: [Extirpation of hypophyseal adenomas by transseptal and transsphenoidal approaches.]. Ann Otolaryngol Chir Cervicofac 76:10171031, 1959. (Fr)

    • Search Google Scholar
    • Export Citation
  • 26

    Halstead AE: The operative treatment of tumors of the hypophysis. Surg Gynecol Obstet 10:494502, 1910

  • 27

    Halves E, & Bushe KA: Transsphenoidal operation on craniopharyngiomas with extrasellar extensions. The advantage of the operating endoscope [proceedings]. Acta Neurochir Suppl 28:362, 1979

    • Search Google Scholar
    • Export Citation
  • 28

    Hardy J: [Excision of pituitary adenomas by transsphenoidal approach.]. Union Med Can 91:933945, 1962. (Fr)

  • 29

    Hardy J, Transsphenoidal approach to the pituitary gland. Wilkins RH, & Rengachary SS: Neurosurgery ed 2. New York, McGraw-Hill, 1996. Vol 2:13751384

    • Search Google Scholar
    • Export Citation
  • 30

    Hardy J: Transsphenoidal hypophysectomy. J Neurosurg 34:582594, 1971

  • 31

    Honegger J, , Buchfelder M, & Fahlbusch R: Surgical treatment of craniopharyngiomas: endocrinological results. J Neurosurg 90:251257, 1999

    • Search Google Scholar
    • Export Citation
  • 32

    Jankowski R, , Auque J, , Simon C, , Marchal JC, , Hepner H, & Way-off M: Endoscopic pituitary tumor surgery. Laryngoscope 102:198202, 1992

  • 33

    Jho HD: Endoscopic transsphenoidal surgery. J Neurooncol 54:187195, 2001

  • 34

    Jho HD, & Carrau RL: Endoscopic endonasal transsphenoidal surgery: experience with 50 patients. J Neurosurg 87:4451, 1997

  • 35

    Jho HD, & Ha HG: Endoscopic endonasal skull base surgery: Part 1—The midline anterior fossa skull base. Minim Invasive Neurosurg 47:18, 2004

    • Search Google Scholar
    • Export Citation
  • 36

    Kaptain GJ, , Vincent DA, , Sheehan JP, & Laws ER Jr: Transsphenoidal approaches for the extracapsular resection of midline suprasellar and anterior cranial base lesions. Neurosurgery 49:94101, 2001

    • Search Google Scholar
    • Export Citation
  • 37

    Kassam A, , Snyderman CH, , Mintz A, , Gardner P, & Carrau RL: Expanded endonasal approach: the rostrocaudal axis. Part I. Crista galli to the sella turcica. Neurosurg Focus 19:1 E3, 2005

    • Search Google Scholar
    • Export Citation
  • 38

    Kassam A, , Snyderman CH, , Mintz A, , Gardner P, & Carrau RL: Expanded endonasal approach: the rostrocaudal axis. Part II. Posterior clinoids to the foramen magnum. Neurosurg Focus 19:1 E4, 2005

    • Search Google Scholar
    • Export Citation
  • 39

    Kassam AB, , Gardner P, , Snyderman C, , Mintz A, & Carrau R: Expanded endonasal approach: fully endoscopic, completely transnasal approach to the middle third of the clivus, petrous bone, middle cranial fossa, and infratemporal fossa. Neurosurg Focus 19:1 E6, 2005

    • Search Google Scholar
    • Export Citation
  • 40

    Kassam AB, , Gardner P, , Snyderman CH, & Carrau R: Fully endoscopic endonasal resection of parasellar craniopharyngiomas: an early experience and review of the literature. Skull Base 14:1 Suppl 21, 2004. (Abstract)

    • Search Google Scholar
    • Export Citation
  • 41

    Kim J, , Choe I, , Bak K, , Kim C, , Kim N, & Jang Y: Transsphenoidal supradiaphragmatic intradural approach: technical note. Minim Invasive Neurosurg 43:3337, 2000

    • Search Google Scholar
    • Export Citation
  • 42

    Kouri JG, , Chen MY, , Watson JC, & Oldfield EH: Resection of suprasellar tumors by using a modified transsphenoidal approach. Report of four cases. J Neurosurg 92:10281035, 2000

    • Search Google Scholar
    • Export Citation
  • 43

    Laws ER Jr: Transsphenoidal microsurgery in the management of craniopharyngioma. J Neurosurg 52:661666, 1980

  • 44

    Laws ER Jr: Transsphenoidal removal of craniopharyngioma. Pediatr Neurosurg 21:Suppl 1 5763, 1994

  • 45

    Laws ER Jr, , Kanter AS, , Jane JA Jr, & Dumont AS: Extended transsphenoidal approach. J Neurosurg 102:825828, 2005

  • 46

    Liu JK, , Cohen-Gadol AA, , Laws ER Jr, , Cole CD, , Kan P, & Couldwell WT: Harvey Cushing and Oskar Hirsch: early forefathers of modern transsphenoidal surgery. J Neurosurg 103:10961104, 2005

    • Search Google Scholar
    • Export Citation
  • 47

    Liu JK, , Das K, , Weiss MH, , Laws ER Jr, & Couldwell WT: The history and evolution of transsphenoidal surgery. J Neurosurg 95:10831096, 2001

    • Search Google Scholar
    • Export Citation
  • 48

    Locatelli D, , Levi D, , Rampa F, , Pezzotta S, & Castelnuovo P: Endoscopic approach for the treatment of relapses in cystic craniopharyngiomas. Childs Nerv Syst 20:863867, 2004

    • Search Google Scholar
    • Export Citation
  • 49

    Maira G, , Anile C, , Albanese A, , Cabezas D, , Pardi F, & Vignati A: The role of transsphenoidal surgery in the treatment of craniopharyngiomas. J Neurosurg 100:445451, 2004

    • Search Google Scholar
    • Export Citation
  • 50

    Maira G, , Anile C, , Rossi GF, & Colosimo C: Surgical treatment of craniopharyngiomas: an evaluation of the transsphenoidal and pterional approaches. Neurosurgery 36:715724, 1995

    • Search Google Scholar
    • Export Citation
  • 51

    Mason RB, , Nieman LK, , Doppman JL, & Oldfield EH: Selective excision of adenomas originating in or extending into the pituitary stalk with preservation of pituitary function. J Neurosurg 87:343351, 1997

    • Search Google Scholar
    • Export Citation
  • 52

    Ray BS, & Patterson RH Jr: Surgical treatment of pituitary adenomas. J Neurosurg 19:18, 1962

  • 53

    Rosegay H: Cushing's legacy to transsphenoidal surgery. J Neurosurg 54:448454, 1981

  • 54

    Rudnik A, , Zawadzki T, , Wojtacha M, , Bazowski P, , Gamrot J, & Galuszka-Ignasiak B, : Endoscopic transnasal transsphenoidal treatment of pathology of the sellar region. Minim Invasive Neurosurg 48:101107, 2005

    • Search Google Scholar
    • Export Citation
  • 55

    Sethi DS, & Pillay PK: Endoscopic management of lesions of the sella turcica. J Laryngol Otol 109:956962, 1995

  • 56

    Weiss MH, Transnasal transsphenoidal approach. Apuzzo MLJ: Surgery of the Third Ventricle Baltimore, Williams & Wilkins, 1987. 476494

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 616 161 13
Full Text Views 263 26 1
PDF Downloads 152 14 1
EPUB Downloads 0 0 0