Tailored Postoperative Reconstruction for Low-Grade Cerebrospinal Fluid Leaks in Pituitary Neuroendocrine Tumors

Our graded reconstruction approach is an effective and efficient method to prevent CSF leaks after eTSA in PitNET patients with low-grade intraoperative CSF leaks. Further subdividing Grade 2 leaks based on defect size enables more precise and reliable skull base reconstruction. Moreover, autologous fat grafts, fascia lata, and perioperative LD appear unnecessary in low-grade cases.

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Publication Details

Journal
Journal of Korean Neurosurgical Society
Published
2025-12-22
DOI
https://doi.org/10.3340/jkns.2025.0207
Primary Topic
Pituitary Gland Disorders and Treatments
Type
article
Field-Weighted Citation Impact
0.00

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article

Tailored Postoperative Reconstruction for Low-Grade Cerebrospinal Fluid Leaks in Pituitary Neuroendocrine Tumors

Yong Hwy Kim, Yoon Hwan Byun, Min-Sung Kim, Ho Kang
Journal of Korean Neurosurgical Society
Pituitary Gland Disorders and Treatments
article

Tailored Postoperative Reconstruction for Low-Grade Cerebrospinal Fluid Leaks in Pituitary Neuroendocrine Tumors

Yong Hwy Kim, Yoon Hwan Byun, Min-Sung Kim, Ho Kang
article en

Abstract

Our graded reconstruction approach is an effective and efficient method to prevent CSF leaks after eTSA in PitNET patients with low-grade intraoperative CSF leaks. Further subdividing Grade 2 leaks based on defect size enables more precise and reliable skull base reconstruction. Moreover, autologous fat grafts, fascia lata, and perioperative LD appear unnecessary in low-grade cases.

Journal of Korean Neurosurgical Society
Seoul National University Hospital (KR), Seoul National University Bundang Hospital (KR), SNUH SMG-SNU Boramae Medical Center (KR)
Seoul National University, Seoul National University Hospital
Good health and well-being
Openalex Percentile: Top 31%
Pituitary Gland Disorders and Treatments
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