Cargando…

Pretemporal Transcavernous Approach for Resection of Non-meningeal Tumors of the Cavernous Sinus: Single Center Experience

OBJECTIVES: To study the outcomes of the pretemporal transcavernous approach in the treatment of non-meningeal tumors involving cavernous sinus and to investigate the surgical strategy for these lesions. METHODS: We conducted a retrospective study of 45 patients with non-meningeal tumors involving c...

Descripción completa

Detalles Bibliográficos
Autores principales: Huang, Meng, Su, Jun, Xiao, Qun, Ma, Qianquan, Long, Wenyong, Liu, Qing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8891164/
https://www.ncbi.nlm.nih.gov/pubmed/35252332
http://dx.doi.org/10.3389/fsurg.2022.810606
_version_ 1784661811032752128
author Huang, Meng
Su, Jun
Xiao, Qun
Ma, Qianquan
Long, Wenyong
Liu, Qing
author_facet Huang, Meng
Su, Jun
Xiao, Qun
Ma, Qianquan
Long, Wenyong
Liu, Qing
author_sort Huang, Meng
collection PubMed
description OBJECTIVES: To study the outcomes of the pretemporal transcavernous approach in the treatment of non-meningeal tumors involving cavernous sinus and to investigate the surgical strategy for these lesions. METHODS: We conducted a retrospective study of 45 patients with non-meningeal tumors involving cavernous sinus. All 45 patients received microsurgical resection via the pretemporal transcavernous approach from April 2012 to January 2019 by the same neurosurgeon. We analyzed clinical manifestations, image data, perioperative complications, surgical outcomes, functional outcomes, and follow-up data of these patients. RESULTS: Gross total resection was achieved in 38 cases (84.4%) of the 45 patients. Preoperatively, a total of 64 individual cranial nerves were affected. Postoperatively, 92.2% of 64 impaired cranial nerves completely or partially restored function, 7.8% had worsened function compared with their preoperative statuses, and 5 new cranial nerve deficits (CNV) were observed in five patients during the last follow-up. Seven patients presented transient new cranial nerve deficits (5 CNIII and 2 CNVI), three cases suffered transient worsen cranial nerve deficits (3 CNIII and 1 CNVII). There were no cases of intracranial hematoma, intracranial infection, cerebrospinal fluid leaks, and death. The progression of residual tumor was observed in two patients (1 chordoma and 1 pituitary adenoma). CONCLUSIONS: Non-meningeal tumors involving cavernous sinus can be safely and radically removed with less morbidity and mortality. Pretemporal transcavernous approach is an ideal approach to the cavernous sinus and can be tailored individually.
format Online
Article
Text
id pubmed-8891164
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-88911642022-03-04 Pretemporal Transcavernous Approach for Resection of Non-meningeal Tumors of the Cavernous Sinus: Single Center Experience Huang, Meng Su, Jun Xiao, Qun Ma, Qianquan Long, Wenyong Liu, Qing Front Surg Surgery OBJECTIVES: To study the outcomes of the pretemporal transcavernous approach in the treatment of non-meningeal tumors involving cavernous sinus and to investigate the surgical strategy for these lesions. METHODS: We conducted a retrospective study of 45 patients with non-meningeal tumors involving cavernous sinus. All 45 patients received microsurgical resection via the pretemporal transcavernous approach from April 2012 to January 2019 by the same neurosurgeon. We analyzed clinical manifestations, image data, perioperative complications, surgical outcomes, functional outcomes, and follow-up data of these patients. RESULTS: Gross total resection was achieved in 38 cases (84.4%) of the 45 patients. Preoperatively, a total of 64 individual cranial nerves were affected. Postoperatively, 92.2% of 64 impaired cranial nerves completely or partially restored function, 7.8% had worsened function compared with their preoperative statuses, and 5 new cranial nerve deficits (CNV) were observed in five patients during the last follow-up. Seven patients presented transient new cranial nerve deficits (5 CNIII and 2 CNVI), three cases suffered transient worsen cranial nerve deficits (3 CNIII and 1 CNVII). There were no cases of intracranial hematoma, intracranial infection, cerebrospinal fluid leaks, and death. The progression of residual tumor was observed in two patients (1 chordoma and 1 pituitary adenoma). CONCLUSIONS: Non-meningeal tumors involving cavernous sinus can be safely and radically removed with less morbidity and mortality. Pretemporal transcavernous approach is an ideal approach to the cavernous sinus and can be tailored individually. Frontiers Media S.A. 2022-02-17 /pmc/articles/PMC8891164/ /pubmed/35252332 http://dx.doi.org/10.3389/fsurg.2022.810606 Text en Copyright © 2022 Huang, Su, Xiao, Ma, Long and Liu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Huang, Meng
Su, Jun
Xiao, Qun
Ma, Qianquan
Long, Wenyong
Liu, Qing
Pretemporal Transcavernous Approach for Resection of Non-meningeal Tumors of the Cavernous Sinus: Single Center Experience
title Pretemporal Transcavernous Approach for Resection of Non-meningeal Tumors of the Cavernous Sinus: Single Center Experience
title_full Pretemporal Transcavernous Approach for Resection of Non-meningeal Tumors of the Cavernous Sinus: Single Center Experience
title_fullStr Pretemporal Transcavernous Approach for Resection of Non-meningeal Tumors of the Cavernous Sinus: Single Center Experience
title_full_unstemmed Pretemporal Transcavernous Approach for Resection of Non-meningeal Tumors of the Cavernous Sinus: Single Center Experience
title_short Pretemporal Transcavernous Approach for Resection of Non-meningeal Tumors of the Cavernous Sinus: Single Center Experience
title_sort pretemporal transcavernous approach for resection of non-meningeal tumors of the cavernous sinus: single center experience
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8891164/
https://www.ncbi.nlm.nih.gov/pubmed/35252332
http://dx.doi.org/10.3389/fsurg.2022.810606
work_keys_str_mv AT huangmeng pretemporaltranscavernousapproachforresectionofnonmeningealtumorsofthecavernoussinussinglecenterexperience
AT sujun pretemporaltranscavernousapproachforresectionofnonmeningealtumorsofthecavernoussinussinglecenterexperience
AT xiaoqun pretemporaltranscavernousapproachforresectionofnonmeningealtumorsofthecavernoussinussinglecenterexperience
AT maqianquan pretemporaltranscavernousapproachforresectionofnonmeningealtumorsofthecavernoussinussinglecenterexperience
AT longwenyong pretemporaltranscavernousapproachforresectionofnonmeningealtumorsofthecavernoussinussinglecenterexperience
AT liuqing pretemporaltranscavernousapproachforresectionofnonmeningealtumorsofthecavernoussinussinglecenterexperience