Curative effects of neurosurgery on suprasellar and parasellar meningiomas: supraobital lateral approach versus pterional approach
DUAN Yong-gang
TAN Zhan-guo
YUAN Bo
Abstract：Objective To study the clinical features of suprasellar and parasellar meningiomas and the curative effects of surgery via supraobital lateral approach and surgery via pterional approach on them.Methods Of 120 patients with sellar region meningiomas,52 (observed group) including 23 with suprasellar meningiomas and 29 with parasellar meningiomas underwent surgery via supraobital lateral approach and 68 (control group) including 30 with suprasellar meningiomas and 38 with parasellar meningiomas underwent surgery via pterional approach.The clinical features of suprasellar and parasellar meningiomas were analyzed.All the patients were followed up for 3 months after the surgery,and the curative effects were compared between both the groups.Results Compared with the parasellar meningiomas,the suprasellar meningiomas had more significant effects on visual filed,eyesight and pituitary body function.The surgery duration,surgical incision and postoperative hospital stays were significantly longer in the control group than those in the observed group (P＜0.05).There was insignificant difference in the incidence of postoperative complications between the two groups (P＞ 0.05).Conclusions The effect of the suprasellar neningiomas on the functions of the optic nerve and pituitary body is more significant than that of the parasellar meningiomas.Compared with pterional approach,supraobital lateral approach can decrease surgery duration and operation-side injury,and facilitate the postoperative recovery in the patients with sellar region meningiomas.
Keywords：Suprasellar meningiomasParasellar meningiomasClinical featuresSupraobital lateral approachPterional approach
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 239-241 )