Clinical efficacy of surgery via extended endoscopic endonasal transtuberculum transplanum approach for patients with suprasellar Rathke's cleft cysts
LI Qian
WU Dan-yang
SONG Dong-hao
YANG Shao-cheng
XU Ling
KE Dai-bo
XIE Ming-xiang
XIAO Shun-wu
Abstract：Objective To investigate the clinical features of suprasellar Rathke's cleft cysts(RCCs)and the clinical efficacy of surgery via extended endoscopic endonasal transtuberculum transplanum approach(EEETTA)for them.Methods The clinical data of 11 patients with suprasellar RCCs treated with surgery via EEETTA from October 2018 to August 2021 were retrospectively analyzed.Results According to the imaging features and neuroendoscopic findings,the RCCs were divided into four types:suprasellar type(n=7),intercisternal type(n=2),pituitary stalk type(n=1),and mixed type(n=1).Increased serum prolactin occurred in 5 patients,headache in 10,visual impairment in 5,and menstrual disorder in 2 on admission.All symptoms were significantly improved after surgery.During the follow-up(0.5～30 months),delayed cerebrospinal fluid rhinorrhea occurred in 1 patient and sphenoid sinus abscess in 1.There was no recurrence of cysts in all patients.Conclusions Suprasellar RCCs is prone to symptoms,and classification according to preoperative MRI and intraoperative neuroendoscopic findings is helpful to the protection of pericapsular normal tissues and the formulation of surgical plan.On the basis of mastering skull base reconstruction techniques,surgery via EEETTA is safe,effective and less invasive for suprasellar RCCs.
Keywords：Suprasellar Rathke's cleft cystSurgeryExtended endoscopic endonasal transtuberculum transplanum approach
Publication Date：2024-01-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 4-7 )