Endoscopic Transnasal Transsphenoidal Pituitary Surgery.
- Author:
Hun Jong DHONG
1
;
Joo Hyun PARK
;
Jong Hyun KIM
Author Information
1. Deparment of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea. hjdhong@smc.samsung.co.kr
- Publication Type:Original Article
- Keywords:
Endoscopic surgery;
Transnasal approach;
Pituitary tumor
- MeSH:
Ambulatory Care Facilities;
Humans;
Hypophysectomy;
Medical Records;
Pituitary Neoplasms;
Retrospective Studies
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
1999;42(6):734-737
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Transseptal transsphenoidal approach has been used for the surgical removal of pituitary tumor. However, it may have a chance of complications following septal surgery. Recently, endoscopic transnasal transsphenoidal approach was attempted with several advantages. MATERIAL AND METHODS: We retrospectively reviewed the medical records of 10 patients who had received endoscopic transnasal transsphenoidal pituitary surgery between December, 1994 and August, 1998. We evaluated the effectiveness of this technique by analyzing operative findings, operative techniques, symptoms improvement and complications after surgery. RESULTS: In most cases, tumor were over 10 mm in diameter. Four patients had received previous transseptal transsphenoidal hypophysectomy. This technigre reduced the postoperative morbidity and compli-cations of transseptal approach. Another advantage of this technique was to examine operative site directly in outpatient clinic. CONCLUSION: We may consider that this approach is safe and effective, especially in revision cases after previoustransseptal surgery.
