Endoscopic Endonasal Infrasellar Approach to the Sellar and Suprasellar Regions: Technical Note SKULL BASE-AN INTERDISCIPLINARY APPROACH Paluzzi, A., Fernandez-Miranda, J. C., Pinheiro-Neto, C., Alcocer-Barradas, V., Lopez-Alvarez, B., Gardner, P., Snyderman, C. 2011; 21 (5): 335–42


We report a technical variation of the endoscopic endonasal approach to the sellar and suprasellar regions which relies on the use of a 45-degree angled endoscope. The so-called "infrasellar approach" aims at excising lesions situated within the intermediate and posterior lobes of the pituitary gland without damaging the anterior lobe, thus potentially minimizing endocrinological morbidity. In this regard the endoscopic infrasellar approach might be advantageous in selected cases when compared with the traditional transsphenoidal approach with the microscope. We describe the technique and illustrate it with representative clinical cases.

View details for DOI 10.1055/s-0031-1280682

View details for Web of Science ID 000294955000009

View details for PubMedID 22451835

View details for PubMedCentralID PMC3312132