An Algorithm for Sellar Reconstruction Following Endoscopic Transsphenoidal Surgery for Pituitary Adenoma: A Review of 582 Cases

Objectives: Endoscopic transsphenoidal surgery is an increasingly popular approach to sellar and parasellar pathology. Sellar reconstruction algorithms have been described that stratify patients based on the risk of postoperative cerebrospinal fluid (CSF) leak to minimize the complexity of the repair necessary for each patient. Many of these algorithms remain overly complex, and employ repair techniques that confer morbidity to patients. We review our experience with sellar reconstruction following transsphenoidal pituitary surgery and propose a highly effective, yet simple and low morbidity, algorithm.