Endoscopic endonasal resection of XXXX : clinical outcomes and surgical nuances.

@entity1 @entity1804 @entity4611 @entity51 @entity1358 @entity158 @entity10
OBJECT: @entity1804 ( @entity1804 ) are benign lesions that can be diagnosed as an incidental finding associated with @entity10 , @entity4611 , or vision deterioration. Typically, they occur in a sellar or suprasellar location. The aim of this study was to review the clinical presentation and outcomes associated with endoscopic endonasal resection of these lesions. METHODS: The authors retrospectively reviewed a series of 35 @entity1 with a diagnosis of @entity1358 after endoscopic endonasal resection at the University of Pittsburgh between January 1998 and July 2008. RESULTS: All 35 @entity1 underwent a purely endoscopic endonasal approach (EEA). The average @entity1 age was 34 years (range 12-67 years), and the average follow-up was 19 months (range 1-60 months). Clinical follow-up data were available for 32 @entity1 , and radiographic follow-up data were accessible for 33 @entity1 . All of the @entity1 underwent complete removal of the cyst contents, and according to radiography studies 2 @entity1 had a recurrence, neither of which required reoperation. The mean cyst volume was 1052.7 mm(3) (range 114-6044 mm(3)). @entity10 was a presenting symptom in 26 (81.2%) of 32 @entity1 , with 25 (96.1%) of 26 having postoperative improvement in their @entity10 . Fifteen (57.7%) of the 26 @entity1 had @entity158 resolution, and 10 (38.5%) had a > 50% reduction in their @entity158 scores. Six (18.8%) of 32 @entity1 initially presented with @entity4611 , although 2 (33.3%) had postoperative improvement. Three (9.4%) of 32 @entity1 had temporary @entity4611 postoperatively, although there was no permanent @entity4611 . Neither were there any intraoperative complications, postoperative CSF leaks, or new @entity51 . The average hospital stay was 1.8 days (range 1-5 days). CONCLUSIONS: The EEA is a safe and effective approach in the treatment of @entity1804 . None of the @entity1 in this study experienced any worsening of their preoperative symptoms or pituitary function, and 96% of the @entity1 who had presented with @entity10 experienced complete or significant @entity158 relief following treatment.
