Abstract: Diaphragma sellae is the dural fold which covers the sella turcica and extends over the pituitary gland, except in the center which is defective because of the pituitary stalk presence. It can be elevated in cases of pituitary adenoma and this elevation can be in different degrees. Diaphragma sellae elevation may even affect the pattern of adenoma growth. During endoscopic transsphenoidal pituitary surgery, the descent of diaphragma sellae is one of the master scenes. Surgeons try as much as they can to guard against the early descent of diaphragma sellae due to its effect in surgical field block and possibility of residual tumor presence or cerebro-spinal fluid leak. Not many articles were done about diaphragma sellae in the literature covering all the applied points related to it. In this article, we try to discuss important points regarding the diaphragma sellae, including its anatomy, radiological picture and the operative considerations related to it.
Keywords: Diaphragma sellae, pituitary macroadenoma, transsphenoidal surgery, cerebrospinal fluid leak.
Title: Diaphragma Sellae in Transsphenoidal Pituitary Adenoma Surgery: Anatomical, Radiological and Operative Considerations
Author: Ahmed Abdelmaksoud, Peng Fu, Osamah Alwalid, Ahmed Elazab, Ahmed Zalloom, Wei Xiang, Xiaobing Jiang, Hongyang Zhao
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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