Although the transsphenoidal approach offers a narrow operative field and poor visual control through a small sellar opening, this approach has the advantage of being associated with minimal surgical @entity130 , especially in @entity1 . We share our experience of good surgical outcome achieved by the transsphenoidal approach in selected @entity976 in childhood, and report on our pediatric series of transsphenoidal complete removals of six relatively large @entity976 and one Rathke's @entity2419 . The most common presenting symptom was @entity227 (6/7). All @entity5 were 'prechiasmatic' cystic masses with moderate to marked suprasellar extensions and elevated diaphragm sellae. The @entity5 measured from 25 to 37 mm in maximum diameter in the midsagittal plane (median 33 mm). In 5 of the 7 @entity5 , the suprasellar portion (range 11-27 mm) was larger than the intrasellar portion (range 8-14 mm). Gross total resection was achieved in all @entity1 . Special attention should be paid to @entity976 to prevent the possibility of incomplete @entity5 resection. The 'bone in a fat pocket' method was useful for preventing postoperative @entity5173 . Vision was improved in all six @entity1 who had preoperative @entity227 . @entity4614 was provoked by @entity5 removal in all @entity1 and managed by hormonal supplementation therapy. Transsphenoidal surgery is an appropriate approach for the radical excision of @entity976 , even in @entity1 , and even if the @entity5 has a relatively large suprasellar component.

Transsphenoidal microsurgery for pediatric XXXX : special considerations regarding indications and method.

@entity1 :: ('9606', 'Species') :: ['children', 'patients'] @entity227 :: ('MESH:D014786', 'Disease') :: ['visual disturbances', 'visual dysfunction'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'radical tumor', 'tumors'] @entity5173 :: ('MESH:D065634', 'Disease') :: ['cerebrospinal fluid leakage'] @entity4614 :: ('MESH:D007018', 'Disease') :: ['Hypopituitarism'] @entity976 :: ('MESH:D003397', 'Disease') :: ['craniopharyngiomas', "intrasellar-suprasellar 'prechiasmatic' craniopharyngiomas", 'multicystic craniopharyngiomas'] @entity2419 :: ('MESH:D002972', 'Disease') :: ['cleft cyst'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity976 :: (MESH:D003397,Disease) :: ['craniopharyngioma']
