Temporal Approach for Sellar or Parasellar Lesions.

Choi, C R; Lee, C C; Song, J U

Original Article

Journal of Korean Neurosurgical Society 1977;6(1): 29-34.

Department of Neurosurgery, St. Mary's Hospital Catholic Medical School, Seoul, Korea.

ABSTRACT

Transtemporal approach to sellar and parasellar inagurated first by Horsley(1902). Thereafter this procedure has been cultivated by many neurosurgeons when the mass of sellar and parasellar are to extension of suprasellar, temporal or backward direction. Recently we experienced 21 temporal approach for sellar and parasellar tumors. By this procedure a clear expose of intrasellar and suprasellar portion of the tumor is guaranteed as well as their relationship to parent structures, especially the chiasm and optic nerve, vessels, hypothalamus, infundibulum, and other cranial vessels. Favorable illumination, stereoscopic view, adequate magnification and depth of focal of the surgical microscope along with the microsurgical instruments provide the armamentarium in treatment of sellar and parasellar lesions.