For the removal of suprasellar meningiomas, the endoscopic endonasal approach (EEA) is becoming increasingly popular (SSMs). In order to improve the patient’s outcome, it’s crucial to choose the right cases. There is a scarcity of long-term outcome data. The researchers thoroughly identified preoperative characteristics linked to extent of resection (EOR) and investigated the link between EOR and long-term recurrence.Immediately after surgery, 10 patients treated with ETOA had partial third nerve palsy (3 transient and 1 persistent) After surgery, eight (88.9%) of the nine patients with preoperative proptosis improved, whereas four (66.7%) of the six patients with visual complaints improved. In this series, there have been no postoperative CSF leaks or infections. There were a total of 51 patients found. The surgical aim of radiographic GTR was met in 40 of 47 (85 percent) of the patients. Prior surgery, tumour lateral to the optic nerve, and full internal carotid artery encasement were all significant independent risk factors for inadequate resection. To predict recurrence, a combination of postoperative MRI-based EOR and direct endoscopic inspection can be utilised instead of the Simpson grade. GTR lowers recurrence substantially and can be done independent of tumour size, closeness to or encasement of the anterior cerebral artery, or medial optic nerve encasement.
Reference Link – https://thejns.org/view/journals/j-neurosurg/135/1/article-p113.xml