Transnasal Transsphenoidal Extradural Chiasmopexy using Affordable Autologous Material in Secondary Empty Sella Syndrome
Abstract
Secondary Empty Sella Syndrome (SESS) is a rare condition characterized by the herniation of the subarachnoid space into the empty sella turcica leading to dislocation and damage of the optic system (nerves, chiasm and tracts). This report presents a case of SESS following cabergoline therapy for prolactinoma causing vision impairment. The patient was surgically treated using endoscopic transnasal transsphenoidal extradural chiasmopexy. The method involves the repositioning and stabilization of the damaged optic nerves and chiasm using affordable autologous material of septal bone and cartilage harvested from nasal septum. The surgical intervention was effective in term of visual field improvement of patients. The use of affordable autologous grafts eliminates the need for synthetic materials, reduces the risk of graft rejection, eliminates the need for additional donor-site surgeries and reduces the possibility of postoperative complications.
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Copyright (c) 2024 Petar Vuleković, Dusan Rodic, Bojan Jelača, Nebojša Lasica, Vladimir Kljajić, Milica Medić Stojanoska, Ivana Bajkin, Nikola Boban, Desanka Grković
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