Traditionally, sellar skull base pathology has been accessed using sublabial or transseptal transsphenoidal approaches with the assistance of an operating microscope.1 However, recently an endoscopic endonasal technique has become more popular.2 This technique provides a corridor of access that extends sagittally from the frontal sinus to the base of the odontoid. For pathology with significant suprasellar extension or lateral invasion of the cavernous sinus, this newer option may be associated with increased visualization, extent of resection, improved visual outcomes, and decreased length of hospital stay when compared with conventional approaches.3,4 Our study sought to determine if outcomes of veterans undergoing this procedure in the VA system rival those in other published studies.
Jones M, Johans S, Ziegler A, Welch KC, Patadia MO, Patel CR, Germanwala AV. Outcomes of Patients Undergoing Endoscopic Endonasal Skull Base Surgery at a VA Hospital. JAMA Surg. Published online September 21, 2016. doi:10.1001/jamasurg.2016.2916