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Long-term results of surgery through the nose for a tumor near the eye nerves

Original title: Long-Term Outcomes of Endoscopic Endonasal Resection for Tuberculum Sella Meningiomas.

How far along is this research?

This was tested in people. That is the most reliable kind of research we share.

This surgery is already done in people today, but these results come from looking back at past patients at one center.

The short version

Doctors looked back at 92 people who had this kind of brain tumor taken out through the nose.

What was studied. Doctors reviewed the charts of 92 patients with a tuberculum sella meningioma, a tumor that sits close to the nerves for sight. All had surgery through the nose at one skull base center between 2008 and 2024, with at least 6 months of follow-up.

What they found. The surgeon took out all of the tumor in 72 cases (78.3%). Vision got better in 57/80 patients (71.3%) who had trouble seeing before surgery. It got worse in 2 (2.5%). Problems after surgery happened in 19 (20.7%) patients, and the tumor came back in seven (7.6%).

What this means, and what it doesn't

What it could mean: If you have this type of tumor, surgery through the nose may be one option to talk about. In this group, most people who had trouble seeing said their sight improved. Your own tumor, its size, and where it sits all matter, so ask your care team what fits you.

What it doesn't mean: This is not a cure, and it is not a promise of the same result for any one person. It was a look back at past patient charts at one center, not a planned trial that compared treatments. Doctors there do many of these surgeries, so results could differ somewhere else. Some people had problems after surgery, and in a few the tumor came back.

Source: PubMed, October 1, 2026 · Read the original

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