OBJECTIVE: @entity1804 ( @entity1804 ) are quite uncommon sellar lesions that can extend or even arise in the suprasellar area. The purpose of this study is to evaluate the effectiveness of both standard and extended endoscopic endonasal approaches in the management of different located @entity1804 . METHODS: We retrospectively analyzed a series of 29 @entity1 (9 males, 20 females) complaining of a @entity1358 , who underwent a standard or an extended endoscopic transsphenoidal approach at the Division of Neurosurgery, Department of @entity249 , of the Universit   degli Studi di Napoli "Federico II". Data regarding @entity1 ' demographics, clinical evaluation, cyst characteristics, surgical treatments, complications and outcomes were extracted from our electronic database (Filemaker Pro 11, File Maker Inc., Santa Clara, California, USA). RESULTS: A standard transsphenoidal approach was used in 19 cases, while the extended variation of the approach in 10 cases (5 purely suprasellar and 5 intra-suprasellar @entity1358 ). Cysts contents was fully drained in all the 29 cases, whilst a gross total removal, that accounts on the complete cyst wall removal, was achieved in an overall 55,1% of @entity1 (16/29), specifically 36,8% (7/19) that received standard approach and 90% (9/10) of those that underwent to extended approach. We reported a 56.2% of recovery from @entity10 , 38.5% of complete recovery and 53.8% of improvement from @entity227 and an overall 46.7% of improvement of the endocrine functions. Postoperative permanent @entity6684 rate was 10.3%, overall post-operative CSF leak rate 6.9%; recurrence/regrowth occurred in 4 @entity1 (4/29, 13.8%), but only one required a second surgery. CONCLUSION: The endoscopic transsphenoidal approach for the removal of a symptomatic @entity1358 offers several advantages in terms of visualization of the surgical field during both the exposure and @entity75 . The "extended" variation of the endoscopic approach provides a direct access to the supradiaphragmatic space, allowing adequate view and room for the safe removal of selected supradiaphragmatic @entity1804 , regardless of the sellar size (even a not enlarged sella), and provides a higher likelihood of preserving normal pituitary tissue and functions.

Endoscopic Endonasal Approach in the Management of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity249 :: ('MESH:D007246', 'Disease') :: ['Neurosciences and Reproductive and Odontostomatological Sciences'] @entity227 :: ('MESH:D014786', 'Disease') :: ['visual field defect'] @entity75 :: ('MESH:D001927', 'Disease') :: ['removal of the lesion'] @entity6684 :: ('MESH:C564703', 'Disease') :: ['DI'] @entity1804 :: ('MESH:D020863', 'Disease') :: ["Rathke's cleft cysts", 'RCCs'] @entity1358 :: ('MESH:D002292', 'Disease') :: ['RCC'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache']
@entity1804 :: (MESH:D020863,Disease) :: ['Rathke's Cleft Cysts']
