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Pterional approach versus unilateral frontal approach on tuberculum sellae meningioma: Single centre experiences.
MedLine Citation:
PMID:  22639687     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Tuberculum Sellae Meningioma is one of the most challenging surgeries among neurosurgeons. Many approaches have been established in the effort of removing the tumor and some of them are supported by an advanced neurosurgical technology. In this study, we aim to compare the efficacy of the two most common approaches, the pterional and the unilateral frontal.
MATERIALS AND METHODS: This was a restrospective study that aimed to observe the efficacy of the two most common approaches used in our center, the pterional and the unilateral frontal, in resecting the tuberculum sellae meningioma, which was held in Dr. Hasan Sadikin General Hospital, Bandung, from July 2007-July 2010. Twenty patients were enrolled with half of them operated by the pterional approach and the rest by unilateral frontal approach. We evaluated six parameters: tumor size, degree of tumor removal, surgery duration, post-operative cerebral edema, patients' outcome, and length of stay, which were evaluated to take measure of the efficacy of each procedure.
RESULTS: We found that the pterional approach gave more advantages than the unilateral frontal. Total tumor removal, especially in tumor size ≥ 3 cm was achieved in a greater number of subjects in the pterional (P<0.023). Other advantages of the pterional compared to the unilateral frontal were a shorter surgical duration (P=0.024), shorter length of stay (P=0.009) and less frequency of post-operative cerebral edema incidence (P=0.023).
CONCLUSION: According to our facilities and conditions, it seems that the pterional approach have more advantages than the unilateral frontal approach in tuberculum sellae meningioma surgery.
Authors:
Muhammad Zafrullah Arifin; Ignatius Mardjono; Roland Sidabutar; Beny Atmadja Wirjomartani; Ahmad Faried
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asian journal of neurosurgery     Volume:  7     ISSN:  2248-9614     ISO Abbreviation:  Asian J Neurosurg     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-05-28     Completed Date:  2012-10-02     Revised Date:  2013-09-16    
Medline Journal Info:
Nlm Unique ID:  101564712     Medline TA:  Asian J Neurosurg     Country:  India    
Other Details:
Languages:  eng     Pagination:  21-4     Citation Subset:  -    
Affiliation:
Department of Neurosurgery, Faculty of Medicine Universitas Padjadjaran-Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.
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