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DOI: 10.1055/a-2706-1319
Endoscopic Transsphenoidal Selective Resection of the Medial Wall of the Cavernous Sinus for the Treatment of Functional Pituitary Adenomas
Authors
Funding Information This study was financially supported by the Anhui Provincial Natural Science Foundation (2308085MH279), Medical Leading Technology of the First Affiliated Hospital of the University of Science and Technology of China (2023LXJS-13), and 2021 Anhui Provincial Quality Engineering Project for Higher Education Institutions (2021jyxm1778).
Abstract
Objective
To investigate the efficacy of endoscopic transsphenoidal selective resection of the medial wall of the cavernous sinus (MWCS) for the treatment of functional pituitary adenomas (FPAs).
Methods
Clinical data of fifteen patients with FPAs were retrospectively analyzed. The MWCS on the side of the tumor was surgically resected.
Results
In this study of fifteen patients, endocrine remission was observed in thirteen cases (86.7%) after surgery, and tumor cells in the MWCS were found in ten (66.7%) cases. No serious postoperative complications occurred in any patient.
Conclusion
For FPAs characterized as Knosp grades 0 to 3, if there is no clear pseudocapsule or normal pituitary between the tumor and the MWCS during the operation, consideration of removal of the MWCS on that side may contribute to improved postoperative remission rates.
‡ These authors contributed equally to this article.
Publikationsverlauf
Eingereicht: 28. April 2025
Angenommen: 18. September 2025
Accepted Manuscript online:
22. September 2025
Artikel online veröffentlicht:
07. Oktober 2025
© 2025. Thieme. All rights reserved.
Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
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