How I do it: endoscopic endonasal chiasmopexy for optic chiasm prolapse.
Level V
Where this comes from
- Record sourced from PubMed, PMID 35781540.
- Also identified by DOI 10.1007/s00701-022-05300-z.
- No licence information is recorded for this record.
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Abstract
Prolapse of the optic system into an empty sella is an unusual complication of the management of pituitary tumors. We described the technical nuances for an endoscopic endonasal chiasmopexy, the indications for the procedure, and the caveats on the diagnosis of optic chiasm prolapse. The endoscopic endonasal chiasmopexy provides a direct route to lift the optic system. In most cases, the procedure may be achieved extradurally, protecting the chiasm from manipulation and postoperative fibrosis.
Medical subject headings
- Optic Chiasm
- Pituitary Neoplasms