Postoperative Nasal Symptoms after Transseptal Transsphenoidal Hypophysectomy.
- Author:
Joong Ho AHN
1
;
Bong Jae LEE
;
Jae Ho KIM
;
Yong Jae KIM
Author Information
1. Department of Otolaryngology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Transseptal transsphenoidal hypophysectomy;
Postoperative symptom
- MeSH:
Humans;
Hypesthesia;
Hypophysectomy*;
Incidence;
Linear Energy Transfer;
Lip;
Male;
Nasal Obstruction;
Postoperative Complications;
Surveys and Questionnaires;
Telephone
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2000;43(5):520-522
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTS: Transseptal transsphenoidal hypophysectomy with nasal columellar flap is now a widely used method with acceptable morbidity, However, a considerable number of patients complain of nasal symptoms after the operation and postoperative complications are continuously reported. The authors analyzed the different types of postoperative symptoms and their incidences. OBJECTS AND METHODS: We interviewed 105 patients (39 male and 66 female) via telephone who have been followed up for more than 1 year. Interviews were proceeded by questionnaires. RESULTS: Among the postoperative symptoms, the most frequent symptom was nasal obstruction (19.0%), followed by hyposmia (17.1%), nasal crust (15.2%), rhinorrhea/headache (12.4%), and upper lip numbness (10.5%). CONCLUSION: On the basis of these clinical experiences, it would be necessary, before undergoing transeptal transsphenoid hypophysectomy, to let patients know and prepare themselves of possible postoperative nasal spnptoms.
