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Endoscopic Endonasal Craniopharyngioma Resection

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Uploaded by on Jan 6, 2012

"Endoscopic Endonasal Craniopharyngioma Resection"

Tyler J. Kenning, MD, D. David Beahm, MD, Christopher J. Farrell, MD, Madeleine R. Schaberg, MD, Marc R. Rosen MD, and James J. Evans MD
Department of Neurological Surgery, Department of Otolaryngology, Head & Neck Surgery, Thomas Jefferson University, Philadelphia, PA

The authors present a case of a 21-year-old female with a progressive bitemporal hemianopsia. Cranial magnetic resonance imaging revealed a large cystic suprasellar, retrochiasmatic lesion consistent with craniopharyngioma. The lesion was fully resected through an endoscopic endonasal transsphenoidal and transplanum approach. Closure of the resultant dural defect was performed with a bilayer fascia lata button and autologous mucoperichondrial nasoseptal flap. Each portion of this procedure was recorded and is presented in an edited high-definition format.

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