Extended endoscopic endonasal approach for resection of a craniopharyngioma in a patient with sphenoid sinus fibrous dysplasia
- 11Department of Neurosurgery, National Institute of Neurology and Neurosurgery Manuel Velasco Suárez, Mexico City; and
- 2Department of Neuro-otology, National Institute of Neurology and Neurosurgery Manuel Velasco Suárez, Mexico City, Mexico
Abstract
This video demonstrates a stepwise endoscopic endonasal strategy for the management of a cystic suprasellar craniopharyngioma coexisting with extensive sphenoid fibrous dysplasia in a 55-year-old man presenting with visual deterioration and neuroendocrine dysfunction. Severe distortion of the sphenoid anatomy required progressive neuronavigation-guided drilling and reconstruction of critical skull base landmarks to safely reestablish the surgical corridor. This strategy enabled successful tumor resection and bilateral optic nerve decompression while preserving the advantages of the endoscopic endonasal route. The technique may be applicable to other complex sphenoid anatomies, including conchal sphenoid sinus variants, when this approach represents the optimal corridor for resection.
The video can be found here: https://stream.cadmore.media/r10.3171/2026.7.FOCVID26144
Related
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BibTeX
@article{villalobosdiaz2026extended,
title = {{Extended endoscopic endonasal approach for resection of a craniopharyngioma in a patient with sphenoid sinus fibrous dysplasia}},
author = {Rodolfo Villalobos-Diaz and Tania M. Jiménez-Molina and Lilian Zavala-Romero and Jorge A. Rochin-Mozqueda and Juan Luis Gómez-Amador and Alfredo Vega-Alarcón and Roberto D. Paz-Lara and Gerardo Y. Guinto-Nishimura},
journal = {Neurosurgical Focus: Video},
year = {2026},
month = oct,
doi = {10.3171/2026.7.focvid26144},
url = {https://doi.org/10.3171/2026.7.focvid26144},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Extended endoscopic endonasal approach for resection of a craniopharyngioma in a patient with sphenoid sinus fibrous dysplasia
AU - Rodolfo Villalobos-Diaz
AU - Tania M. Jiménez-Molina
AU - Lilian Zavala-Romero
AU - Jorge A. Rochin-Mozqueda
AU - Juan Luis Gómez-Amador
AU - Alfredo Vega-Alarcón
AU - Roberto D. Paz-Lara
AU - Gerardo Y. Guinto-Nishimura
PY - 2026
DA - 2026/10/01
JO - Neurosurgical Focus: Video
DO - 10.3171/2026.7.focvid26144
UR - https://doi.org/10.3171/2026.7.focvid26144
AB - This video demonstrates a stepwise endoscopic endonasal strategy for the management of a cystic suprasellar craniopharyngioma coexisting with extensive sphenoid fibrous dysplasia in a 55-year-old man presenting with visual deterioration and neuroendocrine dysfunction. Severe distortion of the sphenoid anatomy required progressive neuronavigation-guided drilling and reconstruction of critical skull base landmarks to safely reestablish the surgical corridor. This strategy enabled successful tumor resection and bilateral optic nerve decompression while preserving the advantages of the endoscopic endonasal route. The technique may be applicable to other complex sphenoid anatomies, including conchal sphenoid sinus variants, when this approach represents the optimal corridor for resection. The video can be found here: https://stream.cadmore.media/r10.3171/2026.7.FOCVID26144
SN - 2643-5217
ER -