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Minim Invasive Neurosurg 2002; 45(2): 124-127
DOI: 10.1055/s-2002-32491
Technical Note
© Georg Thieme Verlag Stuttgart · New York

Usefulness of Silicone Plate for Sellar Floor Reconstruction

J.  Kim1 , J.  Cheong1 , H.  Yi1 , K.  Bak1 , C.  Kim1 , S.  Lee2 , S.  Oh  3
  • 1Department of Neurosurgery, Hanyang University Kuri Hospital, Kuri, Kyunggi-do, South Korea
  • 2Department of Otolaryngology, Hanyang University Kuri Hospital, Kuri, Kyunggi-do, South Korea
  • 3Department of Neurosurgery, Hanyang University Medical Center, Seoul, South Korea
Further Information

Publication History

Publication Date:
25 June 2002 (online)

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Abstract

During the transsphenoidal approach (TSA), the proper sellar floor reconstruction plays an important role in the surgical results. The authors have evaluated the usefulness of a silicone as a substitute for bone splint in sellar floor reconstruction. Silicone plates were used in 10 patients who had 7 pituitary adenomas, 2 Rathke's cleft cysts, and 1 metastatic tumor. Among the ten cases, seven underwent standard TSAs and three received extended TSAs. The silicone plate was cut to a size slightly larger than that of bone window, inserted with a three-pronged fork, and then adjusted precisely. In nine patients, complications that related to surgical repair did not occur. A postoperative cerebrospinal fluid (CSF) rhinorrhea occurred in one pituitary macroadenoma, and no infection was observed in any case. From the authors' experience, advantages of the silicone plate are its simplicity to shape for any size of defects, and the easy detectability of the previous bone window at reoperation.

Key Words

Transsphenoidal Approach (TSA) - Silicone Plate - Reconstruction - Substitute

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J. M. Kim,M.D., Ph.D. 

Department of Neurosurgery, Hanyang University Kuri Hospital

249-1 Kyomun-dong, Kuri

Kyunggi-do, 471-701

South Korea

Phone: +82-31-560-2323

Fax: +82-31-560-2327

Email: kjm2323@hanyang.ac.kr

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