Nuances on Judicious use of NASO-Septal Flap in Extended Endonasal Approaches for Removal of Pituitary Macroadenoma with Different Patterns of Suprasellar Extension

Journal of Neurological Surgery Part B Skull Base 2026

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Authors: Mehdi Khaleghi, Garrett A. Dyess, Asa Record Barnett, Brandon Kaye, Mark R. Gacek, Ursula Noelle Hummel, Jai Deep Thakur
DOI: 10.1055/s-0046-1819511
Cited by: 0

Abstract

Using nasoseptal flap(NSF) or not, for sellar reconstruction in extended endoscopic endonasal approaches for macroadenomas depends on pattern of suprasellar extension. Case 1- NSF was used where adenoma had horizontal extension over the planum sphenoidale and diapgragmatic defect (DD)>1cm. Case 2: Adenoma with no planum extension however was compressing the third ventricle floor-ACA complex where the DD

Fields of Study & Subjects

Head and Neck Surgical Oncology Pituitary Gland Disorders and Treatments Nasal Surgery and Airway Studies

Publication details

Journal / source
Journal of Neurological Surgery Part B Skull Base
Volume
87
Issue
S 01
Pages
S1–S548
Publication date
27 February 2026
Language
EN