This article, published in the Journal of Neurological Surgery, presents the findings of a multicenter study on sellar reconstruction techniques after endoscopic transsphenoidal resection of pituitary tumors. The study aimed to identify the most efficient and least morbid surgical approach to sellar reconstruction. The retrospective chart review included 507 patients from 5 participating sites, and variables such as patient demographics, tumor characteristics, reconstruction technique, postoperative CSF leak, and Sino-Nasal Outcome Test (SNOT-22) scores were analyzed. The study found that the effectiveness and morbidity of different sellar reconstruction techniques were comparable, with no significant differences in postoperative complications and SNOT-22 outcomes. Nasoseptal flaps were more commonly used in cases of giant pituitary adenomas and high-flow intraoperative CSF leaks, while mucosal grafts had shorter operating times. The study also reported a low postoperative CSF leak rate in the cohort. [Extracted from the article]